Individual provider Active NPI

Shreya Sudadi, DO

  • Internal Medicine Physician
  • York, PA
National Provider Identifier
1679259949
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OT022844 Issued in PA
Practice address
1001 S George St
York, PA 17403-3676
Phone
(717) 741-8003
Fax
(717) 741-8016
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 OT022844 PA Primary
Hematology & Oncology Physician 207RH0003X OT022844 PA

Addresses

Primary practice location

1001 S George St
York, PA 17403-3676

Mailing address

1600 St Lukes Blvd FL 2
Easton, PA 18045-5671
Phone (484) 503-4673

Other practice location 1

1600 St Lukes Blvd Fl 2
Easton, PA 18045-5671
Phone (484) 503-4673

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
I20230726004147 PA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7911368766

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: ssudadi339747@direct-sluhn.org

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1679259949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ST LUKES BLVD FL 2",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455671",
            "telephone_number": "484-503-4673",
            "fax_number": "484-503-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033676",
            "telephone_number": "717-741-8003",
            "fax_number": "717-741-8016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 St Lukes Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455671",
            "country_code": "US",
            "telephone_number": "484-503-4673",
            "fax_number": "484-503-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDADI",
        "first_name": "SHREYA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT022844",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "OT022844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.