Individual provider Active NPI

Sujata Das, M.D.

  • Pediatrics Physician
  • Harrisburg, PA
National Provider Identifier
1407113178
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD449940 Issued in PA
Practice address
409 S 2ND St
Harrisburg, PA 17104-1612
Phone
(717) 782-3131
NPI assigned
Apr 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0097967 MD
Hospitalist Physician 208M00000X MD449940 PA
Pediatrics Physician 208000000X MD449940 PA Primary

Addresses

Primary practice location

409 S 2ND St
Harrisburg, PA 17104-1612

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

1001 S George St
York, PA 17403-3676
Phone (717) 851-3884

Other practice location 2

618 Cornwall Rd
Lebanon, PA 17042-7089
Phone (717) 279-6700

Other practice location 3

15 Constitution Ave
Shrewsbury, PA 17361-1709
Phone (717) 235-6848

Other practice location 4

4020 Carlisle Rd
Dover, PA 17315-3508
Phone (717) 812-4240

Other practice location 5

2050 S Queen St
York, PA 17403-4829
Phone (717) 812-4240

Other practice location 6

1011 N Elmer Ave
Sayre, PA 18840-1832
Phone (570) 887-3070

Other practice location 7

2003 E Market St
York, PA 17402-2841
Phone (717) 812-4242

Other practice location 8

2339 S George St
York, PA 17403-5009
Phone (717) 812-3040

Other practice location 9

3065 Windsor Rd
Red Lion, PA 17356-8533
Phone (717) 812-3040

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
I20131127000895 PA Practitioner - Pediatric Medicine 5799911582 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0097967MDMDPediatrics Physician
MD449940PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Nov 25, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Nov 25, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group Past Accepting new patients
York Hospital Past Accepting new patients

Locations

3065 Windsor Rd
Red Lion, PA 17356
Phone (717) 812-3040

15 Constitution Ave
Shrewsbury, PA 17361
Phone (717) 227-0222

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

2050 S Queen St
#100
York, PA 17403
Phone (717) 812-4240

2339 S George St
York, PA 17403
Phone (717) 812-3040

2675 Joppa Rd
York, PA 17403
Phone (717) 741-9063

4020 Carlisle Rd
York, PA 17315
Phone (717) 812-4240

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

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

2003 E Market St
York, PA 17402
Phone (717) 812-4242

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

2050 S Queen St
York, PA 17403
Phone (717) 812-2316

Interoperability endpoints

  • Direct secure messaging: sdas447994@wellspan.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1407113178",
    "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": "409 S 2ND ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612",
            "telephone_number": "717-782-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-3884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Cornwall Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427089",
            "country_code": "US",
            "telephone_number": "717-279-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173611709",
            "country_code": "US",
            "telephone_number": "717-235-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173153508",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034829",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 N Elmer Ave",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188401832",
            "country_code": "US",
            "telephone_number": "570-887-3070",
            "fax_number": "570-887-3382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022841",
            "country_code": "US",
            "telephone_number": "717-812-4242",
            "fax_number": "717-755-7569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2339 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035009",
            "country_code": "US",
            "telephone_number": "717-812-3040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Windsor Rd",
            "address_purpose": "LOCATION",
            "city": "Red Lion",
            "state": "PA",
            "postal_code": "173568533",
            "country_code": "US",
            "telephone_number": "717-812-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAS",
        "first_name": "SUJATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0097967",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD449940",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD449940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.