NPIMap

Individual provider Active NPI

Nimisha Deb, M.D.

  • Radiation Oncology Physician
  • Lebanon, PA
National Provider Identifier
1932152089
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD056083L Issued in PA
Practice address
844 Tuck St
Lebanon, PA 17042-7477
Phone
(717) 639-3915
NPI assigned
May 18, 2006
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD056083L PA Primary

Addresses

Primary practice location

844 Tuck St
Lebanon, PA 17042-7477

Mailing address

601 Memory LN
York, PA 17402-2231

Other practice location 1

801 Ostrum St
St. Luke's Hospital
Bethlehem, PA 18015-1000
Phone (610) 954-4300

Other practice location 2

40 V Twin Dr
Gettysburg, PA 17325-7875
Phone (717) 339-2640

Other practice location 3

260 N 7th St
Chambersburg, PA 17201-1722
Phone (717) 262-4660

Other practice location 4

25 Monument Rd
York, PA 17403-5060
Phone (717) 741-8180

Other practice location 5

460 N Reading Rd
Ephrata, PA 17522-9606
Phone (717) 721-4840

Other identifiers 2

IdentifierTypeStateIssuer
920006467OtherPARAILROAD MEDICARE
0683033MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070910000349 PA Practitioner - Radiation Oncology 0143313064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

40 V Twin Dr
Suite 102
Gettysburg, PA 17325-7878
Phone (717) 339-2640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 13, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 13, 2025 Accepting new patients
St. Luke's Pulmonary Sleep Medicine CurrentSince Jul 14, 2017 Accepting new patients
St. Luke's Physician Group, Inc. Past Accepting new patients

Locations

260 N 7th St
Chambersburg, PA 17201
Phone (717) 262-4660

1600 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-4400

460 N Reading Rd
Ephrata, PA 17522
Phone (717) 721-4840

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

40 V Twin Dr
Gettysburg, PA 17325
Phone (717) 339-2424

40 V Twin Dr
Ste 102
Gettysburg, PA 17325
Phone (717) 338-9009

844 Tuck St
Lebanon, PA 17042
Phone (717) 274-8875

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: ndeb457307@wellspan.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1932152089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 TUCK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427477",
            "telephone_number": "717-639-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_2": "St. Luke's Hospital",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "610-954-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 V Twin Dr",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173257875",
            "country_code": "US",
            "telephone_number": "717-339-2640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011722",
            "country_code": "US",
            "telephone_number": "717-262-4660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035060",
            "country_code": "US",
            "telephone_number": "717-741-8180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229606",
            "country_code": "US",
            "telephone_number": "717-721-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEB",
        "first_name": "NIMISHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD056083L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "920006467",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0683033",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.