WELLSPAN MEDICAL GROUP
NPI 1124104245
Pediatrics in York, PA
NPI Status: Active since October 31, 2006
Contact Information
1001 S GEORGE ST
YORK, PA
ZIP 17403
Phone: (717) 851-3884
Fax: (717) 851-3382
- Organization
- Pediatrics
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
About WELLSPAN MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Wellspan Medical Group, a pediatrician established in York, Pennsylvania operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1124104245 assigned on October 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's
- NPI
- 1124104245
- Provider Legal Name
- WELLSPAN MEDICAL GROUP
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1001 S GEORGE ST YORK, PA 17403
- Location Phone
- (717) 851-3884
- Location Fax
- (717) 851-3382
- Mailing Address
- 601 MEMORY LN YORK, PA 17402
- Mailing Phone
- (717) 851-1405
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-31-2006
- Last Update Date
- 03-25-2026
- Code Navigator
A pediatrician like Wellspan Medical Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Wellspan Medical Group is a medicare supplier with PTAN 20560037 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Blood Glucose Monitors/Supplies (Non-Mail Order).
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0204X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7783839 | OTHER (01) | PA | AETNA |
| HIGHMARK | OTHER (01) | PA | 1955304 |
| 03005900 | OTHER (01) | PA | CAPITAL BLUE CROSS |
| 174862 | OTHER (01) | PA | UNISON HP |
| 1548228 | OTHER (01) | PA | GATEWAY |
| 800174 | OTHER (01) | PA | JOHN HOPKINS HP |
| 68581007 | OTHER (01) | PA | AMERIHEALTH 65 PA |
| KX53 | OTHER (01) | PA | CAREFIRST MD BC/BS |
| 20016312 | OTHER (01) | PA | AMERIHEALTH MERCY |
| 1007721360260 | MEDICAID (05) | PA | |
| 339T | OTHER (01) | PA | GEISINGER |
| CA3246 | OTHER (01) | PA | RAILROAD MEDICARE |
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20560037
- Accepts Medicare Assignment
- NO
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124104245, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
YORK, PA 17403
YORK, PA 17403
YORK, PA 17403
YORK, PA 17403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124104245, enumerated as an "organization" on October 31, 2006.
The provider is located at 1001 S GEORGE ST YORK, PA 17403 and the phone number is (717) 851-3884.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Aetna, Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
