ROSE MARY SOOSAIRAJ FNP
NPI 1154842094
Nurse Practitioner - Family in Watertown, NY

Q: What is Rose Mary Soosairaj's NPI number?

The NPI number for Rose Mary Soosairaj is 1154842094. It was assigned to this individual provider in the NPPES registry on June 30, 2017.

Q: What is Rose Mary Soosairaj's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 30, 2017PECOS EnrolledAccepts Medicare Assignment

1575 WASHINGTON ST, WATERTOWN, NY 13601(315) 786-7300(315) 786-7310 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2022, Jan 12, 2018, Jun 30, 2017 (3 updates tracked since 2017).

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About Rose Mary Soosairaj Fnp NPPES

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

ROSE MARY SOOSAIRAJ FNP (NPI 1154842094) is an individual family provider in Watertown, New York, licensed in New York (341909) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Samaritan Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154842094

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameROSE MARY SOOSAIRAJCredential: FNP

Location Address1575 WASHINGTON STWatertown, NY 13601-9371

Mailing Address1575 Washington StWatertown, NY 13601-9371 · (315) 786-7300 · Fax (315) 786-7310

Phone(315) 786-7300

Fax(315) 786-7310

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 30, 2017

Last NPPES UpdateDecember 9, 20223 updates tracked since enumeration

NPPES CertifiedDecember 9, 2022

✔ NPI 1154842094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 341909

1575 WASHINGTON ST, Watertown, NY 13601

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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

Rose Mary Soosairaj Fnp 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 ID2860754397

PECOS Enrollment IDI20180322000070

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 3

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.

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.

131 services83 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.

80 services63 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

47 services47 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Samaritan Medical Center

Acute Care Hospitals · Watertown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330157

Location830 Washington StreetWatertown, NY 13601 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers25 claims62 services$6.24 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier17 claims17 services$47.54 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$68.79 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$6.34 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier12 claims720 services$0.82 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers13 claims13 services$18.40 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 20

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

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