Individual provider Active NPI

Pankaj Gupta, PA-C

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1952882649
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA060184 Issued in PA
Practice address
2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone
(717) 544-3197
Fax
(717) 544-3171
NPI assigned
Aug 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA060184 PA Primary

Addresses

Primary practice location

2100 Harrisburg Pike
Lancaster, PA 17601-2644

Mailing address

2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181119000073 PA Practitioner - Physician Assistant 9133473713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

1701 Cornwall Rd
Lebanon, PA 17042-7480

2100 Harrisburg Pike
Lancaster, PA 17601-2644
Phone (717) 544-3197

2118 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (215) 615-2222

3045 Marietta Ave
Lancaster, PA 17601-1321
Phone (717) 299-4644

418 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 627-7696

426 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 393-1900

432 Cloverleaf Rd
Elizabethtown, PA 17022-9320
Phone (717) 544-6350

51 Peters Rd
Lititz, PA 17543-7685

540 N Duke St
PM LGHP Urgent Care Duke St
Lancaster, PA 17602-2374
Phone (717) 544-6111

555 N Duke St
Lancaster, PA 17602-2250

895 E Main St
Ephrata, PA 17522-2545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Medical Group CurrentSince May 18, 2020 Accepting new patients
Lancaster General Medical Group CurrentSince May 18, 2020 Accepting new patients
Lancaster General Hospital CurrentSince May 18, 2020 Accepting new patients
Lancaster General Hospital CurrentSince May 18, 2020 Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients

Locations

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2118 Spring Valley Rd
Lancaster, PA 17601
Phone (215) 615-2222

2100 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 544-3030

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

Organizations & group practices 8

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

Hospital & facility affiliations 3

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1952882649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3197",
            "fax_number": "717-544-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-544-3197",
            "fax_number": "717-544-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "PANKAJ",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-22",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.