JACKSON SIEGELBAUM GASTROENTEROLOGY LTD
NPI 1902866205
Internal Medicine - Gastroenterology in Camp Hill, PA

Q: What is Jackson Siegelbaum Gastroenterology Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since March 23, 2006

423 N 21ST ST, SUITE 100, CAMP HILL, PA 17011(717) 761-0930(717) 761-0465 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jackson Siegelbaum Gastroenterology Ltd NPPES

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

JACKSON SIEGELBAUM GASTROENTEROLOGY LTD (NPI 1902866205) is a healthcare organization registered as a gastroenterology in Camp Hill, Pennsylvania and active in the NPI registry since March 2006. The organization lists Frank Wilson Jackson, President, as its authorized official.

NPPES Registry Identity

NPI1902866205

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameJACKSON SIEGELBAUM GASTROENTEROLOGY LTD

Location Address423 N 21ST ST, SUITE 100Camp Hill, PA 17011-2207

Mailing Address423 N 21st St, Suite 100Camp Hill, PA 17011-2207 · (717) 761-0930 · Fax (717) 761-0465

Phone(717) 761-0930

Fax(717) 761-0465

Organization SubpartNo

Authorized OfficialFrank Wilson JacksonPresident · (717) 761-0930

Enumeration DateMarch 23, 2006

Last NPPES UpdateOctober 22, 2007

✔ NPI 1902866205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

423 N 21ST ST, Camp Hill, PA 17011

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Other Identifiers 2

OtherCM8555PA · Railroad Medicare

Medicare PIN424874PA

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Siegelbaum Gastroenterology Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to Jackson Siegelbaum Gastroenterology Ltd, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Adnan Ahmad, D.O.

Gastroenterology

NPI 1215917190

423 N 21ST ST SUITE 100
Camp Hill, PA 17011

(717) 761-0930

✔ PECOS✔ Accepts MedicareSame address

Frank Jackson, MD

Gastroenterology

NPI 1164421673

423 N 21ST ST SUITE 100
Camp Hill, PA 17011

(717) 761-0930

✔ PECOS✔ Accepts MedicareSame address

John Michel, DO

Gastroenterology

NPI 1902805971

423 N 21ST ST SUITE 100
Camp Hill, PA 17011

(717) 761-0930

✔ PECOS✔ Accepts MedicareSame address

Henry Venbrux, MD

Pathology

NPI 1851389894

899 POPLAR CHURCH RD LOWR LEVEL
Camp Hill, PA 17011

(717) 763-0430

✔ PECOS✔ Accepts Medicare0.3 mi

Charles Evancho, M.D.

Pathology

NPI 1932194644

100 CORPORATE CENTER DR STE 100
Camp Hill, PA 17011

(717) 763-1174

✔ PECOS✔ Accepts Medicare0.7 mi

Paul Lacey, M.D.

Gastroenterology

NPI 1265432876

4387 STURBRIDGE DR
Harrisburg, PA 17110

(717) 238-3111

✔ PECOS✔ Accepts Medicare6.5 mi

Subhar Banerjee, M.D.

Gastroenterology

NPI 1043478407

4387 STURBRIDGE DR
Harrisburg, PA 17110

(717) 238-3111

✔ PECOS✔ Accepts Medicare6.5 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 Jackson Siegelbaum Gastroenterology Ltd's NPI number?

The NPI number for Jackson Siegelbaum Gastroenterology Ltd is 1902866205. It was assigned to this organization in the NPPES registry on March 23, 2006.

Where is Jackson Siegelbaum Gastroenterology Ltd located?

Jackson Siegelbaum Gastroenterology Ltd is located at 423 N 21st St Suite 100, Camp Hill, PA 17011. The listed phone number is (717) 761-0930.

What is Jackson Siegelbaum Gastroenterology Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jackson Siegelbaum Gastroenterology Ltd enrolled in Medicare?

Yes. Jackson Siegelbaum Gastroenterology Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jackson Siegelbaum Gastroenterology Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Jackson Siegelbaum Gastroenterology Ltd. 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 Gastroenterology (5) and Pathology (2). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jackson Siegelbaum Gastroenterology Ltd accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jackson Siegelbaum Gastroenterology Ltd 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 Jackson Siegelbaum Gastroenterology Ltd was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.