Individual provider Active NPI

Stephanie Kekulawela, M.D.

  • Surgery Physician
  • Gettysburg, PA
National Provider Identifier
1396979175
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD462529 Issued in PA
Practice address
450 S Washington St FL 3
Gettysburg, PA 17325-2500
Phone
(717) 339-3110
Fax
(717) 339-3108
NPI assigned
May 8, 2009
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT194889 PA
Surgery Physician 208600000X A153448 CA
Surgery Physician 208600000X MD462529 PA Primary

Addresses

Primary practice location

450 S Washington St FL 3
Gettysburg, PA 17325-2500

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 339-3110

Other practice location 1

3901 Lone Tree Way Ste 211
Antioch, CA 94509-6200
Phone (925) 756-1192

Other practice location 2

500 W Berkeley St
Uniontown, PA 15401-5596
Phone (724) 430-5000

Other practice location 3

6 Woodland Rd Ste 205
Saint Helena, CA 94574-9501
Phone (717) 531-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AR, PA, TN, WV5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20180321001234 CA Practitioner - General Surgery 1355645755 Reassigns benefits to 1 organization
I20210205001980 AR Practitioner - General Surgery 1355645755 Reassigns benefits to 1 organization
I20220202000715 PA Practitioner - General Surgery 1355645755 Reassigns benefits to 3 organizations
I20230628002951 TN Practitioner - General Surgery 1355645755 Reassigns benefits to 1 organization
I20241115001882 WV Practitioner - General Surgery 1355645755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Pennsylvania State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Excela Health Dr
Suite 202
Latrobe, PA 15650-9001
Phone (724) 532-5360

250 Stanaford Rd
Beckley, WV 25801-3140
Phone (304) 254-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153448CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Aug 14, 2023 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Apr 1, 2026 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 1, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 19, 2023 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Feb 13, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Oct 1, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 2, 2021 Accepting new patients
Excela Health Physician Practices, Inc CurrentSince Apr 1, 2026 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Dec 2, 2021 Accepting new patients
Wellspan Medical Group CurrentSince Aug 14, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 19, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery Past Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients

Locations

7001 Rogers Ave
Fl 6
Fort Smith, AR 72903
Phone (479) 314-4619

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

6555 Coyle Ave
Ste 220
Carmichael, CA 95608
Phone (916) 241-9677

414 G St
Ste 120
Marysville, CA 95901
Phone (530) 749-2110

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

804 Grandview Dr
Ste 3
Ephrata, PA 17522
Phone (717) 721-6994

450 S Washington St
Fl 3
Gettysburg, PA 17325
Phone (717) 339-3110

450 S Washington St
Ste C
Gettysburg, PA 17325
Phone (717) 334-8141

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1203 Langhorne Newtown Rd
Ste 225
Langhorne, PA 19047
Phone (215) 710-4490

100 Excela Health Dr
Ste 202
Latrobe, PA 15650
Phone (724) 537-7100

8775 Norwin Ave
North Huntingdon, PA 15642
Phone (724) 527-8031

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2701 Holme Ave
Ste 104
Philadelphia, PA 19152
Phone (215) 331-8897

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

257 Bancorp South Pkwy
Ste 604
Jackson, TN 38305

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

1828 Harper Rd
Beckley, WV 25801
Phone (304) 253-4004

250 Stanaford Rd
Beckley, WV 25801
Phone (304) 252-7331

Interoperability endpoints

  • Direct secure messaging: skekulawela316536@direct.wvuhsdirect.com
  • Direct secure messaging: skekulawela366904@wellspan.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1396979175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-339-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WASHINGTON ST FL 3",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252500",
            "telephone_number": "717-339-3110",
            "fax_number": "717-339-3108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Lone Tree Way Ste 211",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096200",
            "country_code": "US",
            "telephone_number": "925-756-1192",
            "fax_number": "925-779-7220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Berkeley St",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154015596",
            "country_code": "US",
            "telephone_number": "724-430-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Woodland Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Saint Helena",
            "state": "CA",
            "postal_code": "945749501",
            "country_code": "US",
            "telephone_number": "717-531-8521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEKULAWELA",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT194889",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A153448",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD462529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.