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SOUMYA NYSHADHAM MD
NPI 1023341922
Anesthesiology - Pediatric Anesthesiology in New Haven, CT

Active since September 09, 2009PECOS Enrolled
20 YORK ST, NEW HAVEN, CT 06510(202) 737-5919 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 30, 2022, Jun 6, 2022, Jun 25, 2021 (3 updates tracked since 2021).

About Soumya Nyshadham Md NPPES

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

SOUMYA NYSHADHAM MD (NPI 1023341922) is an individual pediatric anesthesiology provider in New Haven, Connecticut, licensed in Connecticut (72415) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1023341922
Entity TypeIndividualFemale
Primary Taxonomy207LP3000X
Provider Legal NameSOUMYA NYSHADHAMCredential: MD
Location Address20 YORK STNew Haven, CT 06510-3202
Mailing Address333 Cedar St # Street3New Haven, CT 06510-3206
Phone(202) 737-5919
Sole ProprietorNo
Enumeration DateSeptember 9, 2009
Last NPPES UpdateAugust 30, 20223 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1023341922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207LP3000X
Licenses✔ Licensed in CT · 72415✔ Licensed in GA · 72351
Definition
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.
20 YORK ST, New Haven, CT 06510
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Secondary Practice Location 1

Location 11405 Clifton Rd NE Fl 3Atlanta, GA 30322-1060 · Phone (404) 785-6670 · Fax (404) 785-1362

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soumya Nyshadham Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Soumya Nyshadham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yale University
0.4 mi
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1124148887 (203) 737-5432
Choa Hospital Based, LLC
809 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 251 clinicians in this Medicare group
NPI 1457695488 (404) 785-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

AUDREY P SENIOR APRN
Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5860
DR. YEISID F FIGUEREDO M.D.
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2320
YALE NEW HAVEN HOSPITAL
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-2046
TAYLOR KINGSTON
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-9185
DR. TRAVIS DANIEL BONTRAGER MD
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-1734
TERESA JOSEPH D.O.
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 737-8894
MR. BRAD ST. MARTIN MD
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-4242
BERNADETTE BIMONTE-HACKETT LCSW
Social Worker (Clinical)
20 YORK ST, SOCIAL WORK EP10-635
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5161

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 Soumya Nyshadham's NPI number?

The NPI number for Soumya Nyshadham is 1023341922. It was assigned to this individual provider in the NPPES registry on September 9, 2009.

Where is Soumya Nyshadham located?

Soumya Nyshadham practices at 20 York St, New Haven, CT 06510. The listed phone number is (202) 737-5919.

What is Soumya Nyshadham's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Is Soumya Nyshadham enrolled in Medicare?

Yes. Soumya Nyshadham is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Soumya Nyshadham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soumya Nyshadham reassigns Medicare benefits to 2 organizations: Yale University (New Haven, CT) and Choa Hospital Based, LLC (Brookhaven, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soumya Nyshadham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Soumya Nyshadham was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.