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SOPHIA DESROSIERS
NPI 1104403062
Family Medicine in Philadelphia, PA

Active since March 26, 2021PECOS EnrolledAccepts Medicare Assignment
1316 W ONTARIO ST # A, PHILADELPHIA, PA 19140(215) 707-2400(215) 707-4034 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2024, Mar 26, 2021 (2 updates tracked since 2021).

About Sophia Desrosiers NPPES

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

SOPHIA DESROSIERS (NPI 1104403062) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484831) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2021).

NPPES Registry Identity

NPI1104403062
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSOPHIA DESROSIERS
Location Address1316 W ONTARIO ST # APhiladelphia, PA 19140-5220
Mailing Address3500 N Broad St Rm 1aPhiladelphia, PA 19140-4106 · (215) 926-9019
Phone(215) 707-2400
Fax(215) 707-4034
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2021
Enumeration DateMarch 26, 2021
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
✔ NPI 1104403062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD484831
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1316 W ONTARIO ST # A, Philadelphia, PA 19140
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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

Sophia Desrosiers 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 ID1658773254
PECOS Enrollment IDI20240626002093
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 Sophia Desrosiers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Temple Faculty Practice Plan Inc
Same address
Family Medicine
1316 W ONTARIO ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
NPI 1053893099 (215) 707-2400
Fair Hill Community Physicians
1.4 mi
Federally Qualified Health Center (FQHC)
133 W HUNTING PARK AVE
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 23 clinicians in this Medicare group
NPI 1457049439 (215) 324-0600

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 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
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.

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 Sophia Desrosiers's NPI number?

The NPI number for Sophia Desrosiers is 1104403062. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Sophia Desrosiers located?

Sophia Desrosiers practices at 1316 W Ontario St # A, Philadelphia, PA 19140. The listed phone number is (215) 707-2400.

What is Sophia Desrosiers's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sophia Desrosiers enrolled in Medicare?

Yes. Sophia Desrosiers 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 Sophia Desrosiers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Desrosiers reassigns Medicare benefits to 2 organizations: Temple Faculty Practice Plan Inc (Philadelphia, PA) and Fair Hill Community Physicians (Philadelphia, PA). 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 Sophia Desrosiers'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 Sophia Desrosiers was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.