NPIMap

Individual provider Active NPI

Ravikumari Gollapalli, M.D

  • Internal Medicine Physician
  • Fogelsville, PA
National Provider Identifier
1780080416
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD461378 Issued in PA
Practice address
1431 Nursery St Ste 101a
Fogelsville, PA 18051-1612
Phone
(610) 336-8260
NPI assigned
Nov 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 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 PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD461378 PA Primary
Internal Medicine Physician 207R00000X 125.064405 IL

Addresses

Primary practice location

1431 Nursery St Ste 101a
Fogelsville, PA 18051-1612

Mailing address

2100 Mack Blvd FL 4
Allentown, PA 18103-5622

Other practice location 1

500 Plaza Ct
East Stroudsburg, PA 18301-8262
Phone (614) 441-6422

Other practice location 2

3333 Green Bay Rd
1.083-Rwclc
North Chicago, IL 60064-3037
Phone (847) 688-1900

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
I20170808001147 PA Practitioner - Internal Medicine 7517238678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians
Tower Health Medical GroupGroup PAC ID 7618889213, 578 clinicians

Practice addresses (Care Compare)

1210 S Cedar Crest Blvd
Allentown, PA 18103-6235
Phone (610) 402-3888

1431 Nursery St
Fogelsville, PA 18051-1612

2610 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (484) 750-3950

301 S 7TH Ave
Radiology Tower Health Medical Group
West Reading, PA 19611-1442
Phone (484) 628-8112

950 A N Wyomissing Blvd
Internal Medicine Tower Health Medical Grou
Wyomissing, PA 19610-1722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.064405ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Centers Inc. Multi-Specialty Current Accepting new patients
Tower Health Medical Group Multi-Specialty CurrentSince Aug 3, 2020 Accepting new patients
Tower Health Medical Group Multi-Specialty CurrentSince Aug 3, 2020 Accepting new patients
Family Care Centers Inc Multi-Specialty CurrentSince Aug 1, 2017 Accepting new patients
Tower Health Medical Group Multi-Specialty Current Accepting new patients
Tower Health Medical Group Multi-Specialty Past Accepting new patients

Locations

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

1431 Nursery St
Ste 101A
Fogelsville, PA 18051
Phone (610) 336-8260

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

950 N Wyomissing Blvd
#F1
Wyomissing, PA 19610
Phone (610) 898-2400

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 7

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 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": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1780080416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MACK BLVD FL 4",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181035622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 NURSERY ST STE 101A",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "180511612",
            "telephone_number": "610-336-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Plaza Ct",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183018262",
            "country_code": "US",
            "telephone_number": "614-441-6422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 Green Bay Rd",
            "address_2": "1.083-RWCLC",
            "address_purpose": "LOCATION",
            "city": "North Chicago",
            "state": "IL",
            "postal_code": "600643037",
            "country_code": "US",
            "telephone_number": "847-688-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLLAPALLI",
        "first_name": "RAVIKUMARI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD461378",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.064405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fogelsville, PA

Sources for this page

Verify at the official NPI Registry.