Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Madhusudhan Ponnala, MD

Individual provider Hospitalist Physician · NPI 1558700914

Madhusudhan Ponnala, MD is an Internal Medicine in Camp Hill, Pennsylvania. Qualified in 2007, 19 years ago. Practices with Penn State Health Medical Group LLC, a 711-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
19
Licensed in
PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

503 N 21st St
Camp Hill, PA 17011-2204
Phone: (717) 972-4448
Fax: (717) 972-7366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 University Dr, Hershey, PA 17033-2360 — (717) 531-5160

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD465055 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558700914
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 19, 2013
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Penn State Health Medical Group Llc — 711 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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