SOWMYA K KENIA MD
NPI 1174857601
Psychiatry & Neurology - Psychiatry in Wilmington, DE

Active since September 30, 2009PECOS Enrolled
501 WEST 14TH STREET, 3RD FLOOR, WILMINGTON, DE 19801(302) 428-2100 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sowmya K Kenia Md NPPES

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

SOWMYA K KENIA MD (NPI 1174857601) is an individual psychiatry provider in Wilmington, Delaware, licensed in Delaware (C1-0011018) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174857601
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSOWMYA K KENIACredential: MD
Location Address501 WEST 14TH STREET, 3RD FLOORWilmington, DE 19801-1012
Mailing Address200 Hygeia Dr, Suite 2300Newark, DE 19713-2049
Sole ProprietorYes
Enumeration DateSeptember 30, 2009
Last NPPES UpdateJanuary 13, 2015
✔ NPI 1174857601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in DE · C1-0011018✔ Licensed in MA · 241908✔ Licensed in PA · MD450818
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
501 WEST 14TH STREET, 3RD FLOOR, Wilmington, DE 19801

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sowmya K Kenia 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 Sowmya Kenia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
200 HANNOVER PARK RD STE 100
Atlanta, GA 30350
  • Reassigned Medicare billing, Georgia enrollment
  • 64 clinicians in this Medicare group
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19801 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
$173.08 typical visit price
range $57.12 – $173.08
Typical copayment $43.27 (range $14.28 – $43.27)
Most-billed visit code 99205
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

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 Sowmya Kenia's NPI number?

The NPI number for Sowmya Kenia is 1174857601. It was assigned to this individual provider in the NPPES registry on September 30, 2009.

Where is Sowmya Kenia located?

Sowmya Kenia practices at 501 West 14th Street, 3rd Floor, Wilmington, DE 19801. The listed phone number is (302) 428-2100.

What is Sowmya Kenia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sowmya Kenia enrolled in Medicare?

Yes. Sowmya Kenia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sowmya Kenia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sowmya Kenia reassigns Medicare benefits to 2 organizations: Saint Joseph's Mercy Care Services, Inc. (Atlanta, GA) and The Southeast Permanente Medical Group (Atlanta, 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 Sowmya Kenia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sowmya Kenia accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Sowmya Kenia 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.

When was this NPI record last updated?

The NPPES record for Sowmya Kenia was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.