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WELLSPAN MEDICAL GROUP
NPI 1104988740
Thoracic Surgery (Cardiothoracic Vascular Surgery) in York, PA

Active since December 13, 2006
30 MONUMENT ROAD, SUITE 1100, YORK, PA 17403(717) 851-6454(717) 851-1665 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2025, Nov 21, 2025, Nov 5, 2025 and 4 more (7 updates tracked since 2017).

About Wellspan Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPAN MEDICAL GROUP (NPI 1104988740), doing business as Wellspan Cardiovascular Surgery, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in York, Pennsylvania and active in the NPI registry since December 2006. The organization maintains 2 additional practice locations and lists Jennifer Elaine Sweitzer, Director, as its authorized official.

NPPES Registry Identity

NPI1104988740
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address30 MONUMENT ROAD, SUITE 1100York, PA 17403-5024
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 851-6454
Fax(717) 851-1665
Organization SubpartNo
Authorized OfficialJennifer Elaine SweitzerDirector · (717) 851-6838
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 18, 20257 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1104988740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
30 MONUMENT ROAD, York, PA 17403
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Other Names 1

Doing Business AsWellspan Cardiovascular Surgery

Secondary Practice Locations 2

Location 1179 N Reading RdEphrata, PA 17522-1647 · Phone (717) 738-0167 · Fax (717) 738-5656
Location 2252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-3751

Other Identifiers 14

Medicaid1007721360105PA
Other1628553PA · Highmark Blue Shield
Medicaid401065514MD
Other7619892PA · Aetna
Other04P5MD · Carefirst Md Bcbs-ste 190
Other20034217PA · Amerihealth Mercy
Other344TPA · Geisinger
OtherCA3246PA · Railroad Medicare
Medicaid1007721360246PA
Other1536225PA · Gateway
Other800174PA · John Hopkins
OtherKC94MD · Carefirst Bcbs
Other2305610000PA · Amerihealth 65pa
Other50039030PA · Capital Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellspan Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,072

Medicare enrollment records show 3,072 clinicians reassign Medicare billing to Wellspan Medical Group, which bills Medicare for the services they deliver. Of these, 28 practice at this address and 976 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 65

Nurse Practitioner658
Certified Registered Nurse Anesthetist (CRNA)284
Family Practice275
Hospitalist205
Internal Medicine138
Obstetrics/Gynecology123
Anesthesiology107
Neurology100
57 other specialties1,182

Nearest to this location (20)

See all 3,072
Peter Barclay, MD
Cardiovascular Disease (Cardiology)
NPI 1962431338
30 MONUMENT RD SUITE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Felicia Batten, CRNP
Nurse Practitioner
NPI 1356535892
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-6454
✔ PECOS✔ Accepts MedicareSame address
Michelle Consolini, M.D.
Cardiovascular Disease (Cardiology)
NPI 1457569709
30 MONUMENT RD SUITE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Rhian Davies, D.O.
Cardiovascular Disease (Cardiology)
NPI 1174899702
30 MONUMENT RD SUITE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Cindy Divito, CRNP
Nurse Practitioner
NPI 1780283689
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Julee Eisenhart, CRNP
Nurse Practitioner
NPI 1891123121
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-6454
✔ PECOS✔ Accepts MedicareSame address
Jake Forman
Vascular Surgery
NPI 1558721167
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-6454
✔ PECOS✔ Accepts MedicareSame address
Esra Gucuk Ipek
Cardiovascular Disease (Cardiology)
NPI 1700248259
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Lauren King, CRNP
Nurse Practitioner
NPI 1750640603
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-6454
✔ PECOS✔ Accepts MedicareSame address
Dhruv Mahtta, DO, MBA
Interventional Cardiology
NPI 1396108049
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Adnan Malik, M.D.
Advanced Heart Failure and Transplant Cardiology
NPI 1699829234
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Jae Yoon Park, MD
Interventional Cardiology
NPI 1962798397
30 MONUMENT RD
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Shivik Patel, M.D.
Vascular Surgery
NPI 1780116319
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-6454
✔ PECOS✔ Accepts MedicareSame address
Adam Sagarwala, D.O.
Vascular Surgery
NPI 1932426616
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-6454
✔ PECOS✔ Accepts MedicareSame address
Matthew Singleton, MD
Cardiac Electrophysiology
NPI 1326306168
30 MONUMENT RD STE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Shawn Terry, M.D.
General Surgery
NPI 1730149535
30 MONUMENT RD STE 1100
York, PA 17403
(717) 812-2480
✔ PECOS✔ Accepts MedicareSame address
Paul Tolerico, MD
Interventional Cardiology
NPI 1487692331
30 MONUMENT RD SUITE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Michael Vranian
Advanced Heart Failure and Transplant Cardiology
NPI 1083939607
30 MONUMENT RD SUITE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Jefferson Lee, MD
Cardiac Electrophysiology
NPI 1295879633
30 MONUMENT RD SUITE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
Brian Schuler, MD
Cardiac Electrophysiology
NPI 1467404186
30 MONUMENT RD SUITE 1100
York, PA 17403
(717) 851-2441
✔ PECOS✔ Accepts MedicareSame address
See all 3,072 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellspan Medical Group's NPI number?

The NPI number for Wellspan Medical Group is 1104988740. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as WellSpan Cardiovascular Surgery.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 30 Monument Road Suite 1100, York, PA 17403. The listed phone number is (717) 851-6454.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Wellspan Medical Group enrolled in Medicare?

Yes. Wellspan Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellspan Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,072 clinicians in 65 Medicare specialties reassign their Medicare billing to Wellspan Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (658), Certified Registered Nurse Anesthetist (CRNA) (284) and Family Practice (275). Of these, 28 practice at this address and 976 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellspan Medical Group was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.