Individual provider Active NPI

Ravi Dukkipati, M.D.

  • Neurology Physician
  • York, PA
National Provider Identifier
1710958434
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD070868L Issued in PA
Practice address
1695 Roosevelt Ave Ste B
York, PA 17408-8521
Phone
(717) 851-5503
Fax
(717) 798-3510
NPI assigned
Jan 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD070868L PA Primary

Addresses

Primary practice location

1695 Roosevelt Ave Ste B
York, PA 17408-8521

Mailing address

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

Other practice location 1

40 V Twin Dr Ste 205
Gettysburg, PA 17325-7878
Phone (717) 339-2790

Other practice location 2

22 St Paul Dr Ste 101
Chambersburg, PA 17201-1036
Phone (717) 262-2665

Other practice location 3

228 Saint Charles Way Ste 200
York, PA 17402-4661
Phone (717) 851-5503

Other identifiers 7

IdentifierTypeStateIssuer
389441OtherPAUNITED HEALTH CARE COMM PLAN-WMG
971315OtherPACAREFIRST MD BCBS-WMG
720584OtherPAUPMC-WMG
012032OtherPAHIGHMARK BLUE SHIELD-WMG
1512166OtherPAGATEWAY-WMG
001797173MedicaidPA
30083728OtherPAAMERIHEALTH MERCY-WMG

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
I20080818000683 PA Practitioner - Neurology 5991870479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

1695 Roosevelt Ave
Suite B
York, PA 17408-8521
Phone (717) 851-5503

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Nov 29, 2010 Accepting new patients
Wellspan Medical Group CurrentSince Nov 29, 2010 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Spirit Physician Services Inc. Past Accepting new patients

Locations

22 St Paul Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 262-2665

40 V Twin Dr
Ste 205
Gettysburg, PA 17325
Phone (717) 339-2790

228 Saint Charles Way
Ste 200
York, PA 17402

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

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

1695 Roosevelt Ave
Ste B
York, PA 17408

Interoperability endpoints

  • Direct secure messaging: rdukkipati13959@wellspan.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 12

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1710958434",
    "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": "1695 ROOSEVELT AVE STE B",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088521",
            "telephone_number": "717-851-5503",
            "fax_number": "717-798-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 V Twin Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173257878",
            "country_code": "US",
            "telephone_number": "717-339-2790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 St Paul Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011036",
            "country_code": "US",
            "telephone_number": "717-262-2665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 Saint Charles Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024661",
            "country_code": "US",
            "telephone_number": "717-851-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUKKIPATI",
        "first_name": "RAVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD070868L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE COMM PLAN-WMG",
            "identifier": "389441",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS-WMG",
            "identifier": "971315",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC-WMG",
            "identifier": "720584",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD-WMG",
            "identifier": "012032",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "1512166",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001797173",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "30083728",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.