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PENN STATE HEALTH MEDICAL GROUP, LLC
NPI 1457824013
Radiology - Diagnostic Radiology in Harrisburg, PA

Active since January 07, 2019
4520 UNION DEPOSIT RD, HARRISBURG, PA 17111(717) 531-4094(717) 531-0136 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Feb 12, 2022, Jan 7, 2019 (3 updates tracked since 2019).

About Penn State Health Medical Group, Llc NPPES

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

PENN STATE HEALTH MEDICAL GROUP, LLC (NPI 1457824013) is a healthcare organization registered as a diagnostic radiology in Harrisburg, Pennsylvania and active in the NPI registry since January 2019. The organization maintains 4 additional practice locations and lists Tracy L Moyer-swinko, Ex. Vice Pres, Chief Financial Ofc, as its authorized official.

NPPES Registry Identity

NPI1457824013
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePENN STATE HEALTH MEDICAL GROUP, LLC
Location Address4520 UNION DEPOSIT RDHarrisburg, PA 17111-2910
Mailing AddressPo Box 825972Philadelphia, PA 19182-5972 · (717) 531-4859 · Fax (717) 312-3104
Phone(717) 531-4094
Fax(717) 531-0136
Organization SubpartYesParent: Penn State Health
Authorized OfficialTracy L Moyer-swinkoEx. Vice Pres, Chief Financial Ofc · (717) 531-8477
Enumeration DateJanuary 7, 2019
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1457824013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4520 UNION DEPOSIT RD, Harrisburg, PA 17111
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12160 State RdLancaster, PA 17601-1812 · Phone (717) 531-4094 · Fax (717) 531-0136
Location 22500 Bernville RdReading, PA 19605-9453 · Phone (610) 378-2230 · Fax (717) 531-0136
Location 32200 Good Hope RdEnola, PA 17025-1210 · Phone (717) 393-1771 · Fax (717) 393-2782
Location 4503 N 21st StCamp Hill, PA 17011-2204 · Phone (717) 763-2100 · Fax (717) 763-2401

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Penn State Health Medical Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,000

Medicare enrollment records show 1,000 clinicians reassign Medicare billing to Penn State Health Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 412 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Nurse Practitioner213
Diagnostic Radiology101
Internal Medicine90
Family Practice77
Certified Registered Nurse Anesthetist (CRNA)74
Hospitalist55
Emergency Medicine53
Neurology43
34 other specialties294

Nearest to this location (20)

See all 1,000
Sallyann Blaine, MD
Diagnostic Radiology
NPI 1841637824
4520 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 531-4094
✔ PECOS✔ Accepts MedicareSame address
David Choi, M.D.
Diagnostic Radiology
NPI 1093167405
4520 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 531-4094
✔ PECOS✔ Accepts MedicareSame address
Daniel Esslinger, M.D.
Diagnostic Radiology
NPI 1417374448
4520 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 531-4094
✔ PECOS✔ Accepts MedicareSame address
William Kesler, M.D.
Diagnostic Radiology
NPI 1700128105
4520 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 531-4094
✔ PECOS✔ Accepts MedicareSame address
Brian Bentley, D.O.
Diagnostic Radiology
NPI 1710270731
4518 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 652-5840
✔ PECOS✔ Accepts Medicare0.1 mi
Shervin Dean, MD
Diagnostic Radiology
NPI 1295707362
4518 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 652-5840
✔ PECOS✔ Accepts Medicare0.1 mi
Rhondey Harford, MD
Diagnostic Radiology
NPI 1821084724
4518 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 652-5840
✔ PECOS✔ Accepts Medicare0.1 mi
Mark Labuski, MD
Diagnostic Radiology
NPI 1144213638
4518 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 652-5840
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Stagg, M.D.
Diagnostic Radiology
NPI 1851379903
4518 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 652-5840
✔ PECOS✔ Accepts Medicare0.1 mi
Scott Wise, MD
Diagnostic Radiology
NPI 1689667180
4518 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 652-5840
✔ PECOS✔ Accepts Medicare0.1 mi
Jiajoyce Richardson, CRNP
Nurse Practitioner
NPI 1053449504
4518 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 526-1030
✔ PECOS✔ Accepts Medicare0.1 mi
Brian Bloom, MD
Diagnostic Radiology
NPI 1093708570
4520 UNION DEPOSIT RD
Harrisburg, PA 17111
(717) 652-6105
✔ PECOS✔ Accepts Medicare0.1 mi
Elaine Greene, CNM
Certified Nurse Midwife (CNM)
NPI 1174612352
4700 UNION DEPOSIT ROAD SUITE 140
Harrisburg, PA 17111
(717) 652-6605
✔ PECOS0.1 mi
Calvin Mah, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285870253
4300 LONDONDERRY RD
Harrisburg, PA 17109
(717) 782-5118
✔ Accepts Medicare0.6 mi
Michael Neyman, M.D.
Internal Medicine
NPI 1619224615
4300 LONDONDERRY RD
Harrisburg, PA 17109
(717) 231-8772
✔ PECOS✔ Accepts Medicare0.6 mi
Herit Vachhani
Gastroenterology
NPI 1699194068
4300 LONDONDERRY RD
Harrisburg, PA 17109
(717) 652-3000
✔ PECOS✔ Accepts Medicare0.6 mi
Gina Lott
Nurse Practitioner
NPI 1689493397
6003 UNION TUNNEL DR
Harrisburg, PA 17111
(609) 304-4534
✔ PECOS✔ Accepts Medicare1.9 mi
Vijaya Basarahalli, M.D.
Internal Medicine
NPI 1225584543
4230 CRUMS MILL RD
Harrisburg, PA 17112
(717) 233-6171
✔ PECOS✔ Accepts Medicare2.1 mi
Darrell Hoppes, D.P.M.
Podiatry
NPI 1255642500
6100 OLD JONESTOWN RD
Harrisburg, PA 17112
(717) 541-0988
✔ PECOS✔ Accepts Medicare3.1 mi
Khem Adhikari, MD
Family Practice
NPI 1780029454
3601 NORTH PROGRESS AVE.
Harrisburg, PA 17110
(717) 652-7266
✔ PECOS✔ Accepts Medicare3.7 mi
See all 1,000 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 Penn State Health Medical Group, LLC's NPI number?

The NPI number for Penn State Health Medical Group, LLC is 1457824013. It was assigned to this organization in the NPPES registry on January 7, 2019.

Where is Penn State Health Medical Group, LLC located?

Penn State Health Medical Group, LLC is located at 4520 Union Deposit Rd, Harrisburg, PA 17111. The listed phone number is (717) 531-4094.

What is Penn State Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Penn State Health Medical Group, LLC enrolled in Medicare?

Yes. Penn State Health Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penn State Health Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,000 clinicians in 42 Medicare specialties reassign their Medicare billing to Penn State Health Medical Group, LLC. 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 (213), Diagnostic Radiology (101) and Internal Medicine (90). Of these, 4 practice at this address and 412 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 Penn State Health Medical Group, LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.