Active NPI
Stephanie Kekulawela, M.D.
- Surgery Physician
- Gettysburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD462529
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 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, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
| License | State | Type | Specialty |
|---|---|---|---|
| A153448 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc. | Current | Accepting new patients | |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Appalachian Regional Healthcare, Inc | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Excela Health Physician Practices, Inc | Current | Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Trinity Health Mid-Atlantic Medical Group | Surgery | Current | Accepting new patients |
| Trinity Health Mid-Atlantic Medical Group | Current | 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
- skekulawela316536@direct.wvuhsdirect.com
- 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.
-
dba ARH Southern West Virginia Clinic
- Family Medicine Physician
- Beckley, WV
- NPI 1477510162
-
dba Excela Health Cardiology
- Cardiovascular Disease Physician
- Greensburg, PA
- NPI 1821225202
-
dba THMA MG Surgical Associates Holme
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1902073620
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
-
dba Osteoporosis Clinic
- Family Medicine Physician
- Jeannette, PA
- NPI 1821705245
-
dba Walk-in Clinic
- Family Medicine Physician
- Greensburg, PA
- NPI 1235004193
-
- Physical Medicine & Rehabilitation Physician
- Philadelphia, PA
- NPI 1639039175
-
dba Woodbourne Family Practice
- Family Medicine Physician
- Levittown, PA
- NPI 1982910931
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Adolescent and Children Mental Health Clinic/Center
- Latrobe, PA
- NPI 1518985167
Hospital
-
- Psychiatric Hospital Unit
- Latrobe, PA
- NPI 1831116342
-
- Adolescent and Children Mental Health Clinic/Center
- Latrobe, PA
- NPI 1922025436
Hospital
-
dba Laurel Surgical Center
- Clinic/Center
- Greensburg, PA
- NPI 1396186193
Hospital
-
- General Acute Care Hospital
- Latrobe, PA
- NPI 1821015462
-
dba ARH Southern West Virginia Clinic
- Family Medicine Physician
- Beckley, WV
- NPI 1477510162
Hospital
-
dba Beckley ARH Hospital
- General Acute Care Hospital
- Beckley, WV
- NPI 1568461440
-
- Critical Access Hospital
- Hinton, WV
- NPI 1689664179
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.