LAZAR MEDICAL GROUP, PC
NPI 1295620177
Clinic/Center - Multi-Specialty in Williamsport, PA

Active since June 11, 2025
400 MARKET ST STE 5, WILLIAMSPORT, PA 17701(570) 993-5507 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lazar Medical Group, Pc NPPES

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

LAZAR MEDICAL GROUP, PC (NPI 1295620177), doing business as Bella Glow Medical Group, is a healthcare organization registered as a multi-specialty in Williamsport, Pennsylvania and active in the NPI registry since June 2025. The organization maintains a secondary practice location in Williamsport and lists Michael John Lazar, Co-owner/president, as its authorized official.

NPPES Registry Identity

NPI1295620177
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameLAZAR MEDICAL GROUP, PC
Location Address400 MARKET ST STE 5Williamsport, PA 17701-6344
Mailing Address1640 Oak Ridge PlWilliamsport, PA 17701-1724 · (570) 560-8704
Organization SubpartNo
Authorized OfficialMichael John LazarCo-owner/president · (570) 560-8704
Enumeration DateJune 11, 2025
NPPES CertifiedJune 11, 2025
✔ NPI 1295620177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedRegistered NurseTaxonomy 163W00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedSurgeryTaxonomy 208600000X
400 MARKET ST STE 5, Williamsport, PA 17701

Other Names 1

Former Legal Business NameBella Glow Medical Group

Secondary Practice Location 1

Location 11640 Oak Ridge PlWilliamsport, PA 17701-1724 · Phone (570) 560-8704

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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Lazar Medical Group, PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Family Practice
NPI 1932270204
700 HIGH ST
Williamsport, PA 17701
(570) 321-2125
✔ PECOS✔ Accepts Medicare0.8 mi
Thoracic Surgery
NPI 1962469650
740 HIGH ST SUITE 2001
Williamsport, PA 17701
(570) 321-3165
✔ PECOS✔ Accepts Medicare0.8 mi
Mental Health Counselor
NPI 1528165511
254 S MAIN STREET
Hughesville, PA 17737
(570) 584-5144
✔ PECOS✔ Accepts Medicare14 mi
Clinical Psychologist
NPI 1518933548
100 N ACADEMY AVE
Danville, PA 17822
(570) 271-6472
✔ PECOS28 mi

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 Lazar Medical Group, PC's NPI number?

The NPI number for Lazar Medical Group, PC is 1295620177. It was assigned to this organization in the NPPES registry on June 11, 2025. The provider was formerly known as Bella Glow Medical Group.

Where is Lazar Medical Group, PC located?

Lazar Medical Group, PC is located at 400 Market St Ste 5, Williamsport, PA 17701. The listed phone number is (570) 993-5507.

What is Lazar Medical Group, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Lazar Medical Group, PC enrolled in Medicare?

Yes. Lazar Medical Group, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lazar Medical Group, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Lazar Medical Group, PC, in Clinical Psychologist, Family Practice, Mental Health Counselor and Thoracic Surgery. 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. Of these, 2 practice 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 Lazar Medical Group, PC was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.