NPIMap

Individual provider Active NPI

R Ward Pulliam, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Lancaster, PA
National Provider Identifier
1932176575
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD419644 Issued in PA
Practice address
217 Harrisburg Ave
The Heart Group of Lghealth
Lancaster, PA 17603-2964
Phone
(717) 544-8300
Fax
(717) 544-8265
NPI assigned
Mar 2, 2006
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD419644 PA
Clinical Cardiac Electrophysiology Physician 207RC0001X MD419644 PA Primary

Addresses

Primary practice location

217 Harrisburg Ave
The Heart Group of Lghealth
Lancaster, PA 17603-2964

Mailing address

217 Harrisburg Ave
The Heart Group of Lghealth
Lancaster, PA 17603-2964
Phone (717) 544-8300

Other identifiers 1

IdentifierTypeStateIssuer
10090402080001MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address r.w.pulliam@upmcdirect.com

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
I20040527000516 PA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 7214918028 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Heart Group of Lancaster General HealthGroup PAC ID 1052507449, 62 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

217 Harrisburg Ave
Lancaster, PA 17603-2962
Phone (717) 544-8300

740 High St
Suite 2001
Williamsport, PA 17701-3102
Phone (570) 321-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair76

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna Physician Services CurrentSince Oct 7, 2024 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital CurrentSince Dec 8, 2014 Accepting new patients
Lancaster General Hospital Cardiovascular Disease CurrentSince Dec 8, 2014 Accepting new patients
The Heart Group of Lancaster General Health Cardiovascular Disease CurrentSince Aug 15, 2010 Accepting new patients
Susquehanna Physician Services Cardiovascular Disease CurrentSince Oct 7, 2024 Accepting new patients

Locations

217 Harrisburg Ave
Lancaster, PA 17603
Phone (717) 397-5484

217 Harrisburg Ave
Ste 200
Lancaster, PA 17603
Phone (717) 397-5484

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-2000

740 High St
Ste 2001
Williamsport, PA 17701
Phone (570) 321-2805

Interoperability endpoints

  • Direct secure messaging: rpulliam10706@direct-lghealth.org
  • Direct secure messaging: rpulliam432248@upmc.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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1932176575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "address_2": "THE HEART GROUP OF LGHEALTH",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-544-8300",
            "fax_number": "717-544-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HARRISBURG AVE",
            "address_2": "THE HEART GROUP OF LGHEALTH",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176032964",
            "telephone_number": "717-544-8300",
            "fax_number": "717-544-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "R",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD419644",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD419644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10090402080001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "r.w.pulliam@upmcdirect.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.