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LYCOMING INTERNAL MEDICINE, INC.
NPI 1861460867
Internal Medicine in Lock Haven, PA

Active since March 08, 2006CLIA 39D0911483 · Waiver
1 OUTLET LN STE 380, LOCK HAVEN, PA 17745(570) 398-1800(570) 398-3320 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2022, Dec 2, 2015, Nov 20, 2015 (3 updates tracked since 2015).

About Lycoming Internal Medicine, Inc. NPPES

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

LYCOMING INTERNAL MEDICINE, INC. (NPI 1861460867) is a healthcare organization registered as an internal medicine in Lock Haven, Pennsylvania and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Varsha R Patel, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861460867
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLYCOMING INTERNAL MEDICINE, INC.
Location Address1 OUTLET LN STE 380Lock Haven, PA 17745-7814
Mailing Address1 Outlet Ln Ste 380Lock Haven, PA 17745-7814 · (570) 398-1800 · Fax (570) 398-3320
Phone(570) 398-1800
Fax(570) 398-3320
Organization SubpartNo
Authorized OfficialVarsha R PatelOffice Manager · (570) 398-1800
Enumeration DateMarch 8, 2006
Last NPPES UpdateMarch 10, 20223 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1861460867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1 OUTLET LN STE 380, Lock Haven, PA 17745
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Other Identifiers 1

Medicaid0016518020003PA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0911483

Lycoming Internal Medicine Inc · Lock Haven, PA
Active · expires Feb 6, 2028
CLIA Number39D0911483
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorRajesh Patel MD
Laboratory Phone(570) 398-1800
Laboratory LocationLycoming Internal Medicine IncOne Outlet Lane, Suite 380, Lock Haven, PA 17745
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAJESH J PATEL M.D.
Internal Medicine
1 OUTLET LN STE 380
LOCK HAVEN, PA 17745
Clinton County (570) 398-1800
PRAVINCHANDRA G. CHAPLA M.D.
Internal Medicine
1 OUTLET LN STE 380
LOCK HAVEN, PA 17745
Clinton County (570) 398-1800

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 Lycoming Internal Medicine, Inc.'s NPI number?

The NPI number for Lycoming Internal Medicine, Inc. is 1861460867. It was assigned to this organization in the NPPES registry on March 8, 2006.

Where is Lycoming Internal Medicine, Inc. located?

Lycoming Internal Medicine, Inc. is located at 1 Outlet Ln Ste 380, Lock Haven, PA 17745. The listed phone number is (570) 398-1800.

What is Lycoming Internal Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lycoming Internal Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0911483) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lycoming Internal Medicine, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lycoming Internal Medicine, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lycoming Internal Medicine, Inc. was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.