Individual provider Active NPI

Peter Alexander Kouvatsos, DO

  • Internal Medicine Physician
  • York, PA
National Provider Identifier
1053570531
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS014884 Issued in PA
Practice address
1777 5TH Ave
York, PA 17403-2632
Phone
(717) 843-8051
Fax
(717) 848-2578
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS014884 PA Primary

Addresses

Primary practice location

1777 5TH Ave
York, PA 17403-2632

Mailing address

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

Other practice location 1

2060 Carlisle Rd
Aspers, PA 17304-9707
Phone (717) 339-2585

Other practice location 2

354 Alexander Spring Rd Ste 3
Carlisle, PA 17015-7451
Phone (717) 477-2764

Other practice location 3

12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 264-6511

Other practice location 4

1135 Georgetown Rd Unit 201
Christiana, PA 17509-9543
Phone (717) 466-2462

Other practice location 5

105 4th St
East Berlin, PA 17316-9638
Phone (717) 812-4900

Other practice location 6

4131A Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 859-1123

Other practice location 7

1790 Old Trail Rd
Etters, PA 17319-9652
Phone (717) 938-6588

Other practice location 8

40 V Twin Dr Ste 204
Gettysburg, PA 17325-7878
Phone (717) 339-2424

Other practice location 9

820 Chambersburg Rd
Gettysburg, PA 17325-3310
Phone (717) 337-4410

Other practice location 10

100 Frederick St Ste 101
Hanover, PA 17331-3518
Phone (717) 851-7050

Other practice location 11

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 812-5190

Other practice location 12

264 Granite Run Dr
Lancaster, PA 17601-6804
Phone (717) 721-8205

Other practice location 13

101 Fairview Cir
Lebanon, PA 17042-9581
Phone (717) 279-7303

Other practice location 14

30 N 4th St
Lebanon, PA 17046-5606
Phone (717) 274-0474

Other practice location 15

720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 639-3230

Other practice location 16

300 W King St Ste C
Littlestown, PA 17340-1446
Phone (717) 339-2390

Other practice location 17

2 Keefer Dr
Mercersburg, PA 17236-1732
Phone (717) 328-2119

Other practice location 18

6 Perri Ave
Myerstown, PA 17067-3200
Phone (717) 949-6581

Other practice location 19

13515 Wolfe Rd Ste C
New Freedom, PA 17349-9346
Phone (717) 812-2501

Other practice location 20

3193 Cape Horn Rd
Red Lion, PA 17356-8810
Phone (717) 812-5888

Other practice location 21

30 W Swartzville Rd
Reinholds, PA 17569-9641
Phone (717) 484-4347

Other practice location 22

46 Walnut Bottom Rd Ste 200
Shippensburg, PA 17257-8219
Phone (717) 532-4148

Other practice location 23

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5085

Other practice location 24

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-6250

Other practice location 25

25 Monument Rd Ste 140
York, PA 17403-5057
Phone (717) 741-8003

Other practice location 26

1575 Bannister St Ste 1
York, PA 17404-4946
Phone (717) 812-2000

Other identifiers 1

IdentifierTypeStateIssuer
179779ES6OtherPAPTAN

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
I20100603000430 PA Practitioner - Internal Medicine 9638208465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1777 5TH Ave
York, PA 17403-2632
Phone (717) 843-8051

Hospital & facility affiliations

  • Wellspan Vna Home Care Home health agency, York, PA, CCN 397004
  • Bayada Home Health Care, Inc. Home health agency, Harrisburg, PA, CCN 397770
  • Enhabit Home Health Home health agency, York, PA, CCN 398025
  • Amedisys Home Health Home health agency, Lancaster, PA, CCN 397401
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Oss Orthopaedic Hospital Hospital, York, PA, CCN 390325
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014884PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Mar 28, 2021 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Mar 28, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations (25 of 29)

2060 Carlisle Rd
Aspers, PA 17304
Phone (717) 339-2585

354 Alexander Spring Rd
Ste 3
Carlisle, PA 17015
Phone (717) 217-6820

12 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6026

4131A Oregon Pike
Ephrata, PA 17522
Phone (717) 859-1123

1790 Old Trail Rd
Etters, PA 17319
Phone (717) 938-6588

40 V Twin Dr
Ste 204
Gettysburg, PA 17325
Phone (717) 339-2424

820 Chambersburg Rd
Gettysburg, PA 17325
Phone (717) 337-4206

1227 Baltimore St
Hanover, PA 17331
Phone (717) 646-4204

100 Frederick St
Ste 101
Hanover, PA 17331
Phone (717) 851-7050

264 Granite Run Dr
Lancaster, PA 17601
Phone (717) 721-8205

720 Norman Dr
Lebanon, PA 17042
Phone (717) 279-6700

30 N 4th St
Lebanon, PA 17046
Phone (717) 270-1949

300 W King St
Ste C
Littlestown, PA 17340
Phone (717) 339-2390

2 Keefer Dr
Mercersburg, PA 17236
Phone (717) 328-2115

6 Perri Ave
Myerstown, PA 17067
Phone (717) 949-6581

13515 Wolfe Rd
Ste C
New Freedom, PA 17349
Phone (717) 812-2501

101 Fairview Cir
North Cornwall, PA 17042
Phone (717) 279-7303

3193 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 812-5888

30 W Swartzville Rd
Reinholds, PA 17569
Phone (717) 466-5420

46 Walnut Bottom Rd
#200
Shippensburg, PA 17257
Phone (717) 532-4148

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

1777 5th Ave
York, PA 17403
Phone (717) 843-8051

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

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

1575 Bannister St
Ste 1
York, PA 17404
Phone (717) 812-2000

Interoperability endpoints

  • Direct secure messaging: pkouvatsos167238@wellspan.direct-ci.com

Organizations & group practices 12

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.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1053570531",
    "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": "1777 5TH AVE",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032632",
            "telephone_number": "717-843-8051",
            "fax_number": "717-848-2578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Aspers",
            "state": "PA",
            "postal_code": "173049707",
            "country_code": "US",
            "telephone_number": "717-339-2585",
            "fax_number": "717-677-4781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Alexander Spring Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "fax_number": "717-839-2772",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-264-6511",
            "fax_number": "717-264-1081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Georgetown Rd Unit 201",
            "address_purpose": "LOCATION",
            "city": "Christiana",
            "state": "PA",
            "postal_code": "175099543",
            "country_code": "US",
            "telephone_number": "717-466-2462",
            "fax_number": "717-798-8433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 4th St",
            "address_purpose": "LOCATION",
            "city": "East Berlin",
            "state": "PA",
            "postal_code": "173169638",
            "country_code": "US",
            "telephone_number": "717-812-4900",
            "fax_number": "717-255-0951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131A Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229550",
            "country_code": "US",
            "telephone_number": "717-859-1123",
            "fax_number": "717-859-2898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1790 Old Trail Rd",
            "address_purpose": "LOCATION",
            "city": "Etters",
            "state": "PA",
            "postal_code": "173199652",
            "country_code": "US",
            "telephone_number": "717-938-6588",
            "fax_number": "717-938-9601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 V Twin Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173257878",
            "country_code": "US",
            "telephone_number": "717-339-2424",
            "fax_number": "717-334-6659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Chambersburg Rd",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173253310",
            "country_code": "US",
            "telephone_number": "717-337-4410",
            "fax_number": "717-337-0267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Frederick St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173313518",
            "country_code": "US",
            "telephone_number": "717-851-7050",
            "fax_number": "717-632-7478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-812-5190",
            "fax_number": "717-637-2245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "264 Granite Run Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176016804",
            "country_code": "US",
            "telephone_number": "717-721-8205",
            "fax_number": "717-721-8251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Fairview Cir",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170429581",
            "country_code": "US",
            "telephone_number": "717-279-7303",
            "fax_number": "717-279-7471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170465606",
            "country_code": "US",
            "telephone_number": "717-274-0474",
            "fax_number": "717-270-2374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427481",
            "country_code": "US",
            "telephone_number": "717-639-3230",
            "fax_number": "717-274-1659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W King St Ste C",
            "address_purpose": "LOCATION",
            "city": "Littlestown",
            "state": "PA",
            "postal_code": "173401446",
            "country_code": "US",
            "telephone_number": "717-339-2390",
            "fax_number": "717-359-4178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Keefer Dr",
            "address_purpose": "LOCATION",
            "city": "Mercersburg",
            "state": "PA",
            "postal_code": "172361732",
            "country_code": "US",
            "telephone_number": "717-328-2119",
            "fax_number": "717-328-0071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Perri Ave",
            "address_purpose": "LOCATION",
            "city": "Myerstown",
            "state": "PA",
            "postal_code": "170673200",
            "country_code": "US",
            "telephone_number": "717-949-6581",
            "fax_number": "717-949-2816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13515 Wolfe Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173499346",
            "country_code": "US",
            "telephone_number": "717-812-2501",
            "fax_number": "717-461-7178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3193 Cape Horn Rd",
            "address_purpose": "LOCATION",
            "city": "Red Lion",
            "state": "PA",
            "postal_code": "173568810",
            "country_code": "US",
            "telephone_number": "717-812-5888",
            "fax_number": "717-741-3709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 W Swartzville Rd",
            "address_purpose": "LOCATION",
            "city": "Reinholds",
            "state": "PA",
            "postal_code": "175699641",
            "country_code": "US",
            "telephone_number": "717-484-4347",
            "fax_number": "717-484-0968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-532-4148",
            "fax_number": "717-255-0091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5085",
            "fax_number": "717-839-6463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "717-356-6250",
            "fax_number": "717-553-1269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035057",
            "country_code": "US",
            "telephone_number": "717-741-8003",
            "fax_number": "717-461-7404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 Bannister St Ste 1",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174044946",
            "country_code": "US",
            "telephone_number": "717-812-2000",
            "fax_number": "717-812-2010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUVATSOS",
        "first_name": "PETER",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS014884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "179779ES6",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.