DR. SHEETAL KOUL MD
NPI 1174839591
Internal Medicine in Philadelphia, PA

Active since August 23, 2010PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-1622(215) 707-0943 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2020, Mar 30, 2016 (2 updates tracked since 2016).

About Dr. Sheetal Koul Md NPPES

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

DR. SHEETAL KOUL MD (NPI 1174839591) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD449460) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1174839591
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SHEETAL KOULCredential: MD
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-1622 · Fax (215) 707-0943
Fax(215) 707-0943
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 23, 2010
Last NPPES UpdateAugust 19, 20202 updates tracked since enumeration
NPPES CertifiedAugust 19, 2020
NPI 1174839591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in PA · MD449460 Licensed in PA · MT197854
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3401 N BROAD ST, Philadelphia, PA 19140

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. Sheetal Koul Md 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 ID4385887298
PECOS Enrollment IDI20130826000024
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 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services68 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
89 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services52 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.
48 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services16 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
24 services22 patients

Hospital Affiliations CMS Care Compare

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

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

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
$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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.19
Promoting Interoperability98
Improvement Activities40
Cost54.93

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.

Specialist
3401 N BROAD ST
PHILADELPHIA, PA 19140
Pharmacist (Pharmacotherapy)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Gastroenterology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Interventional Cardiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Nephrology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Nuclear Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Physical Medicine & Rehabilitation
3401 N BROAD ST, BSMT ROCK PAVILION
PHILADELPHIA, PA 19140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174839591, enumerated as an "individual" on August 23, 2010.

The provider is located at 3401 N BROAD ST PHILADELPHIA, PA 19140 and the phone number is (215) 707-1622.

Internal Medicine with taxonomy code 207R00000X.

Sheetal Koul is affiliated with: TEMPLE UNIVERSITY HOSPITAL.