TRACY THOLANIKUNNEL
NPI 1033572870
Psychiatry & Neurology - Neurology in Philadelphia, PA
About Tracy Tholanikunnel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY THOLANIKUNNEL (NPI 1033572870) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD491878) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tracy Tholanikunnel 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tracy Tholanikunnel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 clinicians in this Medicare group
Stratford, NJ 08084
- Reassigned Medicare billing, New Jersey enrollment
- 438 clinicians in this Medicare group
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uf Health Shands Hospital
Acute Care Hospitals · Gainesville, FLShore Medical Center
Acute Care Hospitals · Somers Point, NJJefferson Stratford Hospital
Acute Care Hospitals · Stratford, NJThomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAAbington Memorial Hospital
Acute Care Hospitals · Abington, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
PHILADELPHIA, PA 19107
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 Tracy Tholanikunnel's NPI number?
The NPI number for Tracy Tholanikunnel is 1033572870. It was assigned to this individual provider in the NPPES registry on March 30, 2016.
Where is Tracy Tholanikunnel located?
Tracy Tholanikunnel practices at 1101 Chestnut St Fl 10, Philadelphia, PA 19107. The listed phone number is (215) 955-6000.
What is Tracy Tholanikunnel's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Tracy Tholanikunnel enrolled in Medicare?
Yes. Tracy Tholanikunnel 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.
Which organizations bill Medicare for Tracy Tholanikunnel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Tholanikunnel reassigns Medicare benefits to 3 organizations: Jefferson University Physicians (Philadelphia, PA), Kennedy Medical Group Practice, P.C. (Stratford, NJ) and Florida Clinical Practice Association Inc (Gainesville, FL). 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 Tracy Tholanikunnel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracy Tholanikunnel accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tracy Tholanikunnel 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.
Is Tracy Tholanikunnel affiliated with any hospitals?
According to CMS data, Tracy Tholanikunnel is affiliated with Uf Health Shands Hospital, Shore Medical Center, Jefferson Stratford Hospital, Thomas Jefferson University Hospital and Abington Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Tracy Tholanikunnel was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.
# Tracy Tholanikunnel · NPI 1033572870
Neurology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 30, 2016.
## Identity
- **NPI:** 1033572870 (Entity type: Individual)
- **Enumerated:** March 30, 2016
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** MD491878 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 CHESTNUT ST FL 10, Philadelphia, PA 19107-3612
- **Phone:** (215) 955-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jefferson University Physicians (NPI 1326093675, Philadelphia, PA); Kennedy Medical Group Practice, P.C. (NPI 1437410990, Stratford, NJ); Florida Clinical Practice Association Inc (NPI 1063463768, Gainesville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** September 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033572870) · Data from the CMS NPPES public registry.