Individual provider Active NPI

Sumithra Jeganathan

  • Maternal & Fetal Medicine Physician
  • York, PA
National Provider Identifier
1013398460
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MD477323 Issued in PA
Practice address
35 Monument Rd Ste 202
York, PA 17403-5074
Phone
(717) 851-2722
Fax
(717) 851-3127
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MD477323 PA Primary

Addresses

Primary practice location

35 Monument Rd Ste 202
York, PA 17403-5074

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

1101 Edgar St
York, PA 17403-2862
Phone (717) 812-4602

Other practice location 2

1001 S George St
York, PA 17403-3676
Phone (717) 851-2348

Other practice location 3

175 Martin Ave
Ephrata, PA 17522-1761
Phone (866) 244-3492

Other practice location 4

455 S Washington St
Gettysburg, PA 17325-2516
Phone (717) 338-3292

Other practice location 5

845 Helen Dr
Lebanon, PA 17042-7493
Phone (866) 244-3492

Other practice location 6

22 St Paul Dr
Chambersburg, PA 17201-1036
Phone (877) 722-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220709000900 PA Practitioner - Obstetrics/Gynecology 0648650556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

35 Monument Rd
Suite 202
York, PA 17403-5074
Phone (717) 851-2722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD477323PAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Oct 27, 2022 Accepting new patients
Wellspan Medical Group Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
York Hospital Obstetrics & Gynecology CurrentSince Oct 27, 2022 Accepting new patients
York Hospital Current Accepting new patients
Wellspan Medical Group CurrentSince Aug 1, 2022 Accepting new patients

Locations

22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020

455 S Washington St
Gettysburg, PA 17325
Phone (717) 334-1800

845 Helen Dr
Lebanon, PA 17042
Phone (717) 273-8835

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1101 Edgar St
York, PA 17403
Phone (717) 812-4602

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

1001 S George St
York, PA 17403
Phone (717) 812-7687

35 Monument Rd
Ste 202
York, PA 17403
Phone (717) 851-2722

605 S George St
Ste 200
York, PA 17401
Phone (717) 851-2334

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: sjeganathan291788@wellspan.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1013398460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MONUMENT RD STE 202",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035074",
            "telephone_number": "717-851-2722",
            "fax_number": "717-851-3127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Edgar St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032862",
            "country_code": "US",
            "telephone_number": "717-812-4602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221761",
            "country_code": "US",
            "telephone_number": "866-244-3492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252516",
            "country_code": "US",
            "telephone_number": "717-338-3292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 Helen Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427493",
            "country_code": "US",
            "telephone_number": "866-244-3492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011036",
            "country_code": "US",
            "telephone_number": "877-722-1757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEGANATHAN",
        "first_name": "SUMITHRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD477323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.