PENN STATE HEALTH MEDICAL GROUP, LLC
NPI 1497409155
Hospitalist in Camp Hill, PA

Q: What is Penn State Health Medical Group, LLC's NPI number?

The NPI number for Penn State Health Medical Group, LLC is 1497409155. It was assigned to this organization in the NPPES registry on February 10, 2022.

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

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since February 10, 2022

503 N 21ST ST, CAMP HILL, PA 17011(717) 972-4448(717) 972-7366 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, Feb 3, 2026, Feb 14, 2022 and 1 more (4 updates tracked since 2022).

On this page

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 1497409155) is a healthcare organization registered as a hospitalist in Camp Hill, Pennsylvania and active in the NPI registry since February 2022. The organization maintains 3 additional practice locations and lists Tracy L Moyer-swinko, Vp/chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1497409155

Entity TypeOrganization

Primary Taxonomy208M00000X

Legal Business NamePENN STATE HEALTH MEDICAL GROUP, LLC

Location Address503 N 21ST STCamp Hill, PA 17011-2204

Mailing AddressPo Box 825972Philadelphia, PA 19182-5972 · (717) 531-4859

Phone(717) 972-4448

Fax(717) 972-7366

Organization SubpartYesParent: Penn State Health

Authorized OfficialTracy L Moyer-swinkoVp/chief Financial Officer · (717) 531-8477

Enumeration DateFebruary 10, 2022

Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1497409155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X

503 N 21ST ST, Camp Hill, PA 17011

Open in Google Maps ↗

Secondary Practice Locations 3

Location 12500 Bernville RdReading, PA 19605-9453 · Phone (610) 378-2735 · Fax (610) 378-2664

Location 22160 State RdLancaster, PA 17601-1812 · Phone (223) 202-7620

Location 32200 Good Hope RdEnola, PA 17025-1210 · Phone (717) 972-4448 · Fax (717) 972-7366

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 MULTIPLE 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

992

Medicare enrollment records show 992 clinicians reassign Medicare billing to Penn State Health Medical Group, LLC, which bills Medicare for the services they deliver. Of these, 76 practice at this address and 257 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 42

Nurse Practitioner213

Diagnostic Radiology93

Internal Medicine90

Family Practice77

Certified Registered Nurse Anesthetist (CRNA)74

Hospitalist55

Emergency Medicine53

Neurology43

34 other specialties294

Nearest to this location (20)

See all 992

Amanda Anton, M.D.

Internal Medicine

NPI 1326480500

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Shane Appel, M.D.

Emergency Medicine

NPI 1861924177

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4301

✔ PECOS✔ Accepts MedicareSame address

Shante Bennett, MD

Diagnostic Radiology

NPI 1396081857

503 NORTH 21ST ST
Camp Hill, PA 17011

(717) 972-4379

✔ PECOS✔ Accepts MedicareSame address

Sasikala Bimini Krishnamurthy, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1699229625

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ Accepts MedicareSame address

Arlene Bobonich, MD

Hospice/Palliative Care

NPI 1669408035

503 NORTH 21ST ST.
Camp Hill, PA 17110

(717) 763-2100

✔ PECOS✔ Accepts MedicareSame address

Srinivasa Ramanujan Boora, M.D.,

Internal Medicine

NPI 1124307988

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Paul Brettschneider, MD

Psychiatry

NPI 1518919570

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2376

✔ PECOS✔ Accepts MedicareSame address

Luke Chetlen, DO

Emergency Medicine

NPI 1508894197

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4301

✔ PECOS✔ Accepts MedicareSame address

Melinda Cree, CRNP

Nurse Practitioner

NPI 1619386117

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4501

✔ PECOSSame address

Nirali Dani, MD

Hospitalist

NPI 1265796593

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Jessica Danner, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1215491212

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ Accepts MedicareSame address

Venkateswara Davuluri, M.D

Hospitalist

NPI 1659533628

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Dylan Degol, MD

Emergency Medicine

NPI 1699268508

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4301

✔ PECOS✔ Accepts MedicareSame address

Aisatou Diallo, M.D

Internal Medicine

NPI 1598043911

503 N. 21ST STREET
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Megan Drahnak, CRNP

Nurse Practitioner

NPI 1467177915

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ PECOS✔ Accepts MedicareSame address

Jaime Herrera Caceres, MD, MSC

Urology

NPI 1457022766

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ PECOS✔ Accepts MedicareSame address

Gurmeet Kalra, M.D.

Family Practice

NPI 1659599066

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

Sushma Kosaraju, STUDENT

Psychiatry

NPI 1558892513

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2219

✔ PECOS✔ Accepts MedicareSame address

Stephanie Madonis

Interventional Cardiology

NPI 1972997922

503 N 21ST ST
Camp Hill, PA 17011

(717) 763-2100

✔ PECOS✔ Accepts MedicareSame address

Richard Prensner, MD

Family Practice

NPI 1992767909

503 N 21ST ST
Camp Hill, PA 17011

(717) 972-4448

✔ PECOS✔ Accepts MedicareSame address

See all 992 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 1497409155. It was assigned to this organization in the NPPES registry on February 10, 2022.

Where is Penn State Health Medical Group, LLC located?

Penn State Health Medical Group, LLC is located at 503 N 21st St, Camp Hill, PA 17011. The listed phone number is (717) 972-4448.

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

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

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), 992 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 (93) and Internal Medicine (90). Of these, 76 practice at this address and 257 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 July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.