LEBANON WELLNESS
NPI 1932881489
Internal Medicine in Lebanon, PA

Active since August 03, 2023
974 ISABEL DR, LEBANON, PA 17042(717) 297-7900(717) 276-7323 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lebanon Wellness NPPES

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

LEBANON WELLNESS (NPI 1932881489), doing business as Modern Medicine, is a healthcare organization registered as an internal medicine in Lebanon, Pennsylvania and active in the NPI registry since August 2023. The organization lists Shavkat Ruziev, Owner, as its authorized official.

NPPES Registry Identity

NPI1932881489
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLEBANON WELLNESS
Location Address974 ISABEL DRLebanon, PA 17042-7482
Mailing Address974 Isabel DrLebanon, PA 17042-7482 · (717) 297-7900 · Fax (717) 276-7323
Fax(717) 276-7323
Organization SubpartNo
Authorized OfficialShavkat RuzievOwner · (717) 297-7900
Enumeration DateAugust 3, 2023
Last NPPES UpdateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
NPI 1932881489 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.
974 ISABEL DR, Lebanon, PA 17042

Other Names 1

Doing Business AsModern Medicine

Other Identifiers 1

Medicaid104547266-0001PA

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

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Community Health)
974 ISABEL DR
LEBANON, PA 17042
Registered Nurse
974 ISABEL DR
LEBANON, PA 17042
Chiropractor
974 ISABEL DR
LEBANON, PA 17042
Massage Therapist
974 ISABEL DR
LEBANON, PA 17042

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 Lebanon Wellness's NPI number?

The NPI number for Lebanon Wellness is 1932881489. It was assigned to this organization in the NPPES registry on August 3, 2023. The provider is doing business as Modern Medicine.

Where is Lebanon Wellness located?

Lebanon Wellness is located at 974 Isabel Dr, Lebanon, PA 17042. The listed phone number is (717) 297-7900.

What is Lebanon Wellness's specialty?

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

What insurance does Lebanon Wellness accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lebanon Wellness 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 Lebanon Wellness was last updated on January 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.