NPIMap

Individual provider Active NPI

Saketram Komanduri, MD

  • Cardiovascular Disease Physician
  • Mechanicsburg, PA
National Provider Identifier
1417331893
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD465029 Issued in PA
Practice address
2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411
Phone
(717) 731-0101
Fax
(717) 731-8359
NPI assigned
Jul 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD465029 PA
Cardiovascular Disease Physician 207RC0000X MD465029 PA Primary

Addresses

Primary practice location

2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411

Mailing address

2020 Technology Pkwy Ste 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101

Other practice location 1

111 S Front St
Harrisburg, PA 17101
Phone (240) 753-5441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829001285 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Hospitalist 7719237551 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Hospitalist, Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Cardiovascular Institute IncGroup PAC ID 6901087006, 117 clinicians

Practice addresses (Care Compare)

2020 Technology Pkwy
Suite 201
Mechanicsburg, PA 17050-9411
Phone (717) 731-0101

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Jul 25, 2018 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 25, 2018 Accepting new patients
Pinnacle Health Cardiovascular Institute Inc Cardiovascular Disease CurrentSince Jul 1, 2025 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 25, 2018 Accepting new patients

Locations

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

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

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

2020 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050

Interoperability endpoints

  • Direct secure messaging: saketram.komanduri@upmcdirect.com
  • Direct secure messaging: skomanduri293270@upmc.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1417331893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 TECHNOLOGY PKWY STE 201",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509411",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TECHNOLOGY PKWY STE 201",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509411",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 S Front St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "17101",
            "country_code": "US",
            "telephone_number": "240-753-5441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMANDURI",
        "first_name": "SAKETRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD465029",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD465029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.