Individual provider Active NPI

Alyssa Doody

  • Internal Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1750797122
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OT016069 Issued in PA
Practice address
4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone
(717) 652-3000
NPI assigned
Jul 7, 2014
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT016069 PA Primary

Addresses

Primary practice location

4300 Londonderry Rd
Harrisburg, PA 17109-5317

Mailing address

PO Box 229
Wakefield, RI 02880-0229
Phone (401) 788-3929

Other practice location 1

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 788-1590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20190617001093 RI Practitioner - Internal Medicine 6204053150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 782-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. Internal Medicine CurrentSince Jul 15, 2019 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients

Locations

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

70 Kenyon Ave
Unit 211
Wakefield, RI 02879
Phone (401) 789-8543

Organizations & group practices 3

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 6

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1750797122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028800229",
            "telephone_number": "401-788-3929",
            "fax_number": "401-788-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONDONDERRY RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095317",
            "telephone_number": "717-652-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Kenyon Ave",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794216",
            "country_code": "US",
            "telephone_number": "401-788-1590",
            "fax_number": "401-788-1593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOODY",
        "first_name": "ALYSSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT016069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.