DR. VENKATESH SUNDARARAJAN M.D.
NPI 1003022500
Pain Medicine - Pain Medicine in Horsham, PA

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
76.74/100
CMS Quality Rating
300 WELSH RD STE 104, HORSHAM, PA 19044(844) 365-7246(844) 516-0080 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2022, Aug 4, 2021 (2 updates tracked since 2021).

About Dr. Venkatesh Sundararajan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VENKATESH SUNDARARAJAN M.D. (NPI 1003022500) is an individual pain medicine provider in Horsham, Pennsylvania, licensed in Pennsylvania (MD428810) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of University Of Cincinnati College Of Medicine (2002).

NPPES Registry Identity

NPI1003022500
Entity TypeIndividualMale
Primary Taxonomy208VP0000X
Provider Legal NameDR. VENKATESH SUNDARARAJANCredential: M.D.
Location Address300 WELSH RD STE 104Horsham, PA 19044-2248
Mailing Address291 Carter Dr Ste AMiddletown, DE 19709-5845 · (844) 365-7246 · Fax (844) 524-1767
Fax(844) 516-0080
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2002
Enumeration DateMay 14, 2007
Last NPPES UpdateApril 21, 20232 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
NPI 1003022500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Licenses Licensed in PA · MD428810 Licensed in DE · C1-0010968
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License MD422810 (PA)
300 WELSH RD STE 104, Horsham, PA 19044

Secondary Practice Locations 11

Location 14701 Ogletown Stanton Rd Ste 1200Newark, DE 19713-2079 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 2535 Pennsylvania AveFort Washington, PA 19034-3305 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 31235 Penn Ave Ste 302Wyomissing, PA 19610-2100 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 4931 E Haverford Rd Ste 202Bryn Mawr, PA 19010-3838 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 5100 Arrandale Blvd Ste 103Exton, PA 19341-2503 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 6160 N Pointe Blvd Ste 208Lancaster, PA 17601-4134 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 7291 Carter Dr Ste AMiddletown, DE 19709-5845 · Phone (844) 365-7146 · Fax (844) 516-0080
Location 83105 Limestone Rd Ste 300Wilmington, DE 19808-2156 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 91197 Airport Rd Fl 2Milford, DE 19963-6418 · Phone (844) 365-7246 · Fax (844) 516-0080
Location 10405 Silverside Rd Ste 104Wilmington, DE 19809-1768 · Phone (302) 894-2881 · Fax (844) 516-0080
Location 112701 Blair Mill Rd, #35Willow Grove, PA 19090-1041 · Phone (215) 957-1108 · Fax (844) 516-0080

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Venkatesh Sundararajan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012009236
PECOS Enrollment IDI20080219000096, I20151118000784
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 39

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
7,838 services817 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
3,080 services170 patients
Administration and interpretation of patient-focused health risk assessment 96160
This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.
2,534 services800 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,665 services644 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,124 services515 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
1,057 services170 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.3
Promoting Interoperability0
Improvement Activities40
Cost95.95

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0648
DME-Orthotic Devices · category DF007N
4 suppliers15 claims15 services$517.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
300 WELSH RD STE 104
HORSHAM, PA 19044
Pain Medicine (Pain Medicine)
300 WELSH RD STE 104
HORSHAM, PA 19044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Venkatesh Sundararajan's NPI number?

The NPI number for Venkatesh Sundararajan is 1003022500. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Venkatesh Sundararajan located?

Venkatesh Sundararajan practices at 300 Welsh Rd Ste 104, Horsham, PA 19044. The listed phone number is (844) 365-7246.

What is Venkatesh Sundararajan's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Venkatesh Sundararajan enrolled in Medicare?

Yes. Venkatesh Sundararajan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Venkatesh Sundararajan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Venkatesh Sundararajan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Venkatesh Sundararajan was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.