Individual provider Active NPI

Ramesh Kodavatiganti, M.D.

  • Anesthesiology Physician
  • Philadelphia, PA
National Provider Identifier
1174529440
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD433055 Issued in PA
Practice address
34TH Street and Civic Center Boulevard
Suite 9329
Philadelphia, PA 19104-4399
Phone
(215) 590-1867
Fax
(215) 590-5824
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X MD433055 PA
Pediatric Anesthesiology Physician 207LP3000X MD433055 PA
Anesthesiology Physician 207L00000X MD433055 PA Primary

Addresses

Primary practice location

34TH Street and Civic Center Boulevard
Suite 9329
Philadelphia, PA 19104-4399

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 812-7687

Other practice location 1

25 Monument Rd Ste 270
York, PA 17403-5073
Phone (717) 741-8250

Other practice location 2

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500

Other practice location 3

55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425

Other practice location 4

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 231-8978

Other practice location 5

1001 S George St
York, PA 17403-3676
Phone (717) 812-7687

Other practice location 6

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311

Other identifiers 3

IdentifierTypeStateIssuer
119106OtherPAMEDICARE #
MD433055OtherPAMEDICAL LICENSE
G83996OtherPAUPIN

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
I20071126000191 PA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 0143295485 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1989
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)

1001 S George St
York, PA 17403-3676
Phone (717) 812-7687

111 S Front St
Harrisburg, PA 17101-2010
Phone (717) 782-3282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433055PAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Sep 25, 2023 Accepting new patients
Children'S Anesthesiology Associates, LTD Anesthesiology CurrentSince Jan 2, 2013 Accepting new patients
Wellspan Medical Group CurrentSince Sep 25, 2023 Accepting new patients
Children'S Anesthesiology Associates, LTD Anesthesiology CurrentSince Jan 2, 2013 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC CurrentSince Dec 15, 2025 Accepting new patients
Upmc Pinnacle Anesthesia Services, LLC Anesthesiology CurrentSince Dec 15, 2025 Accepting new patients
University Hospitals Medical Group Inc Anesthesiology PastSince Mar 1, 2022 Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology Past Accepting new patients

Locations

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

100 E Penn Sq
Bldg 9TH
Philadelphia, PA 19107
Phone (267) 425-9538

3401 Civic Center Blvd
Ste 9329
Philadelphia, PA 19104
Phone (267) 425-9300

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

55 Monument Rd
York, PA 17403
Phone (717) 741-5257

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: rkodavatiganti371145@wellspan.direct-ci.com

Organizations & group practices 10

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1174529440",
    "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": "717-812-7687",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34TH STREET AND CIVIC CENTER BOULEVARD",
            "address_2": "SUITE 9329",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044399",
            "telephone_number": "215-590-1867",
            "fax_number": "215-590-5824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Monument Rd Ste 270",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035073",
            "country_code": "US",
            "telephone_number": "717-741-8250",
            "fax_number": "717-741-8289",
            "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": "717-270-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035023",
            "country_code": "US",
            "telephone_number": "717-812-6425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012010",
            "country_code": "US",
            "telephone_number": "717-231-8978",
            "fax_number": "717-221-5673",
            "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": "717-812-7687",
            "fax_number": "717-851-5250",
            "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": "717-733-0311",
            "fax_number": "717-721-5861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODAVATIGANTI",
        "first_name": "RAMESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "PA",
            "license": "MD433055",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PA",
            "license": "MD433055",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD433055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE #",
            "identifier": "119106",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD433055",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G83996",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.