Individual provider Active NPI

Alicia Kyli Tucker, MD

  • Sports Medicine (Family Medicine) Physician
  • York, PA
National Provider Identifier
1689703563
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD435206 Issued in PA
Practice address
2003 Springwood Rd
York, PA 17403-4836
Phone
(717) 851-2521
NPI assigned
Mar 5, 2007
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD435206 PA
Sports Medicine (Family Medicine) Physician 207QS0010X MD435206 PA Primary

Addresses

Primary practice location

2003 Springwood Rd
York, PA 17403-4836

Mailing address

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

Other practice location 1

1695 Roosevelt Ave Ste B
York, PA 17408-8521
Phone (717) 812-4090

Other practice location 2

25 Monument Rd Ste 200
York, PA 17403-5049
Phone (717) 812-4090

Other practice location 3

2319 S George St
York, PA 17403-5009
Phone (717) 812-4090

Other practice location 4

1132 Annapolis Rd
Odenton, MD 21113-1647
Phone (301) 896-3100

Other practice location 5

912 Russell Dr
Lebanon, PA 17042
Phone (717) 272-7971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110407000588 MD Practitioner - Family PracticePractitioner - Sports Medicine 3173717543 Reassigns benefits to 2 organizations
I20171019002153 PA Practitioner - Family PracticePractitioner - Sports Medicine 3173717543 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Albany Medical College of Union University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2003 Springwood Rd
York, PA 17403-4836
Phone (717) 851-2521

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD435206PAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Sep 8, 2014 Accepting new patients
Wellspan Medical Group CurrentSince Nov 15, 2023 Accepting new patients
Drexel University CurrentSince Aug 14, 2017 Accepting new patients
Tower Drexel Academic Medical Group LLC Sports Medicine CurrentSince Apr 1, 2020 Accepting new patients
Wellspan Medical Group CurrentSince Nov 15, 2023 Accepting new patients
University of Maryland Family Medicine Associates, P.a. CurrentSince Sep 8, 2014 Accepting new patients
Chestnut Hill Clinic Company, LLC Family Medicine CurrentSince Nov 30, 2022 Accepting new patients
Drexel University CurrentSince Aug 14, 2017 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
Chestnut Hill Clinic Company, LLC Sports Medicine CurrentSince Nov 30, 2022 Accepting new patients
Drexel University Current Accepting new patients
University of Maryland Faculty Physicians Immediate Care, LLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603

912 Russell Dr
Lebanon, PA 17042
Phone (717) 272-7971

10 Shurs Ln
Ste 203
Philadelphia, PA 19127
Phone (215) 482-1234

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

219 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 762-5037

219 N Broad St
Ste 8
Philadelphia, PA 19107
Phone (215) 762-4005

8200 Flourtown Ave
Ste 2
Wyndmoor, PA 19038
Phone (215) 836-5100

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

1695 Roosevelt Ave
Ste B
York, PA 17408

2003 Springwood Rd
York, PA 17403
Phone (717) 851-2521

2319 S George St
York, PA 17403
Phone (717) 747-9911

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

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

Interoperability endpoints

  • Direct secure messaging: atucker408554@wellspan.direct-ci.com

Organizations & group practices 13

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 13

Hospital & facility affiliations 4

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1689703563",
    "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",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 SPRINGWOOD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034836",
            "telephone_number": "717-851-2521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 Roosevelt Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174088521",
            "country_code": "US",
            "telephone_number": "717-812-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035049",
            "country_code": "US",
            "telephone_number": "717-812-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2319 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035009",
            "country_code": "US",
            "telephone_number": "717-812-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1132 Annapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Odenton",
            "state": "MD",
            "postal_code": "211131647",
            "country_code": "US",
            "telephone_number": "301-896-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Russell Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "17042",
            "country_code": "US",
            "telephone_number": "717-272-7971",
            "fax_number": "717-272-1241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "ALICIA",
        "middle_name": "KYLI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD435206",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD435206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.