Active NPI
Sukumar Puvvala, MD
- Diagnostic Radiology Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD421519
- Practice address
- 35 Monument Rd
Suite 201
York, PA 17403-5074 - Phone
- (717) 812-4083
- Fax
- (717) 812-2244
- NPI assigned
- Sep 26, 2005
- Last updated
- Feb 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD421519 | PA | Primary |
Addresses
Primary practice location
35 Monument Rd
Suite 201
York, PA 17403-5074
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 815-1405
Other practice location 1
1201 Letort Springs Way
Carlisle, PA 17015-8011
Phone (717) 674-7600
Other practice location 2
36 Robinhood Dr
Etters, PA 17319-9528
Phone (717) 388-7300
Other practice location 3
14781 Wolfe Rd
New Freedom, PA 17349-9571
Phone (717) 326-1880
Other practice location 4
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0785
Other practice location 5
147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 337-4207
Other practice location 6
169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 738-6414
Other practice location 7
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7732
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001958935 | Medicaid | PA | |
| 402022700 | Medicaid | MD | |
| 7581465 | Other | PA | AETNA |
| 50074893 | Other | PA | CAPITAL BLUE CROSS WMG |
| 919374 | Other | MD | CAREFIRST MD BCBS |
| 235944 | Other | PA | UNISON-WMG |
| 1468864 | Other | PA | HIGHMARK BLUE SHIELD |
| 1530454 | Other | PA | GATEWAY-WMG |
| 2006917 | Other | PA | AMERIHEALTH MERCY WMG |
| 212042 | Other | PA | JOHN HOPKINS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
35 Monument Rd
Suite 201
York, PA 17403-5074
Phone (717) 812-4083
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Upmc Pinnacle Hospitals | Past | Accepting new patients | |
| Quantum Imaging & Therapeutic Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Central Pennsylvania MRI Center | Diagnostic Radiology | Past | Accepting new patients |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121
35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
1001 S George St
York, PA 17403
Phone (717) 812-7687
1600 S George St
York, PA 17403
Phone (717) 848-3615
2064 Springwood Rd
York, PA 17403
Phone (717) 843-0385
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
35 Monument Rd
Ste 201
York, PA 17403
Phone (717) 812-3712
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Urgent Care
- Urgent Care Clinic/Center
- Greencastle, PA
- NPI 1588360010
-
- Diagnostic Radiology Physician
- Mechanicsburg, PA
- NPI 1629064548
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1609863893
-
- Ambulatory Surgical Clinic/Center
- Harrisburg, PA
- NPI 1528940962
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1215060157
Hospital
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1669523320
Hospital
-
dba WellSpan Chambersburg Hospital
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1952452617
Hospital
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
Hospital
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
dba WellSpan Good Samaritan Hospital
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
dba WellSpan Good Samaritan Hospital
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
dba WellSpan Good Samaritan Hospital
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
-
- General Acute Care Hospital
- York, PA
- NPI 1760787576
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
-
dba York Hospital Community Health Center
- Clinic/Center
- York, PA
- NPI 1497814040
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1164418075",
"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": "717-815-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MONUMENT RD",
"address_2": "SUITE 201",
"city": "YORK",
"state": "PA",
"postal_code": "174035074",
"telephone_number": "717-812-4083",
"fax_number": "717-812-2244"
}
],
"practiceLocations": [
{
"address_1": "1201 Letort Springs Way",
"address_purpose": "LOCATION",
"city": "Carlisle",
"state": "PA",
"postal_code": "170158011",
"country_code": "US",
"telephone_number": "717-674-7600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "36 Robinhood Dr",
"address_purpose": "LOCATION",
"city": "Etters",
"state": "PA",
"postal_code": "173199528",
"country_code": "US",
"telephone_number": "717-388-7300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14781 Wolfe Rd",
"address_purpose": "LOCATION",
"city": "New Freedom",
"state": "PA",
"postal_code": "173499571",
"country_code": "US",
"telephone_number": "717-326-1880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Erick Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176013111",
"country_code": "US",
"telephone_number": "717-690-0785",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "147 Gettys St",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173252534",
"country_code": "US",
"telephone_number": "717-337-4207",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Martin Ave",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221734",
"country_code": "US",
"telephone_number": "717-738-6414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 S 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-7732",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUVVALA",
"first_name": "SUKUMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD421519",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001958935",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "402022700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7581465",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS WMG",
"identifier": "50074893",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "919374",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON-WMG",
"identifier": "235944",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1468864",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY-WMG",
"identifier": "1530454",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY WMG",
"identifier": "2006917",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN HOPKINS",
"identifier": "212042",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.