Active NPI
Prasad Krishnakurup, M.D
- Vascular & Interventional Radiology Physician
- Ephrata, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD471455
- Practice address
- 169 Martin Ave
Ephrata, PA 17522-1734 - Phone
- (717) 738-6414
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT207150 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 282461 | NY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD471455 | PA | Primary |
Addresses
Primary practice location
169 Martin Ave
Ephrata, PA 17522-1734
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7732
Other practice location 2
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0785
Other practice location 3
804 Grandview Dr
Ephrata, PA 17522-1681
Phone (717) 639-3074
Other practice location 4
36 Robinhood Dr
Etters, PA 17319-9528
Phone (717) 388-7300
Other practice location 5
35 Monument Rd Ste 201
York, PA 17403-5074
Phone (717) 812-4083
Other practice location 6
147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 337-4207
Other practice location 7
27005 76th Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-3456
Other practice location 8
1201 Letort Springs Way
Carlisle, PA 17015-8011
Phone (717) 674-7600
Other practice location 9
14781 Wolfe Rd
New Freedom, PA 17349-9571
Phone (717) 326-1880
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
- Interventional Radiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 337-4207
Hospital & facility affiliations
- Wellspan Ephrata Community Hospital
- Wellspan Good Samaritan Hospital
- Gettysburg Hospital
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT207150 | PA | MD | Internal Medicine Physician |
| 282461 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
804 Grandview Dr
Ephrata, PA 17522
Phone (717) 466-2500
460 N Reading Rd
Ephrata, PA 17522
Phone (717) 721-4840
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
35 Monument Rd
Ste 201
York, PA 17403
Phone (717) 812-3712
3421 Concord Rd
York, PA 17402
Phone (717) 851-2441
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
Interoperability endpoints
- pkrishnakurup241415@wellspan.direct-ci.com
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1083615587
-
- General Acute Care Hospital
- Ephrata, PA
- NPI 1558558064
-
- Hospitalist Physician
- Ephrata, PA
- NPI 1700023041
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- Ambulatory Surgical Clinic/Center
- Lebanon, PA
- NPI 1205902343
Hospital
-
- General Acute Care Hospital
- Lebanon, PA
- NPI 1407928500
-
- Emergency Medicine Physician
- Lebanon, PA
- NPI 1730754284
Hospital
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1265840276",
"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": "169 MARTIN AVE",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175221734",
"telephone_number": "717-738-6414"
}
],
"practiceLocations": [
{
"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"
},
{
"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": "804 Grandview Dr",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221681",
"country_code": "US",
"telephone_number": "717-639-3074",
"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": "35 Monument Rd Ste 201",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035074",
"country_code": "US",
"telephone_number": "717-812-4083",
"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": "27005 76th Ave",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110401402",
"country_code": "US",
"telephone_number": "718-470-3456",
"country_name": "United States",
"address_type": "DOM"
},
{
"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": "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"
}
],
"basic": {
"last_name": "KRISHNAKURUP",
"first_name": "PRASAD",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT207150",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "282461",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": "MD471455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.