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DR. SUNIL VERMA MD
NPI 1184651606
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124(215) 831-4811(215) 831-2603 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sunil Verma Md NPPES

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

DR. SUNIL VERMA MD (NPI 1184651606) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD068971L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1184651606
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SUNIL VERMACredential: MD
Location Address4641 ROOSEVELT BLVDPhiladelphia, PA 19124-2343
Mailing Address1601 Cherry St, Suite 11511Philadelphia, PA 19102-1321 · (215) 255-7822 · Fax (215) 255-7825
Phone(215) 831-4811
Fax(215) 831-2603
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 16, 2007
✔ NPI 1184651606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD068971L
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.
4641 ROOSEVELT BLVD, Philadelphia, PA 19124
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified032035PA
Medicare UPINH07156PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Sunil Verma 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 ID4385805860
PECOS Enrollment IDI20120410000229
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

5

Medicare enrollment records show Sunil Verma reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Drexel Academic Medical Group LLC
1.8 mi
Psychiatry
160 E ERIE AVE FL 2
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 clinicians in this Medicare group
NPI 1407499148 (610) 743-6049
Drexel University
2.4 mi
Optometrist
1200 W GODFREY AVE
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 335 clinicians in this Medicare group
NPI 1336160027 (215) 276-6000
Chestnut Hill Clinic Company, LLC
6.1 mi
Sports Medicine
10 SHURS LN STE 204
Philadelphia, PA 19127
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 176 clinicians in this Medicare group
NPI 1811611692 (215) 967-1627
Tower Health Medical Group
6.9 mi
Transplant Surgery
8835 GERMANTOWN AVE
Philadelphia, PA 19118
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1306476924 (484) 628-7700
Pottstown Clinic Company LLC
33 mi
Family Medicine
730 S HANOVER ST
Pottstown, PA 19465
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 474 clinicians in this Medicare group
NPI 1649341934 (610) 323-6835

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 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.

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.
53 services29 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.
32 services32 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19124 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

ADAM LEVINE LCSW
Social Worker
4641 ROOSEVELT BLVD, ORLEANS BUILDING
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2899
FRIENDS BEHAVIORAL HEALTH SYSTEM, LP
Psychiatric Hospital
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-4600
PAUL BALLAS
Psychiatry & Neurology (Psychiatry)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-7935
COURTNEY DOUDS LSW, MED
Social Worker
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2860
MR. JAMIYLAH SIKA BURNS PHYSICAL THERAPIST
Physical Therapist (Pediatrics)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 742-7820
CHRISTEN JOESELL YASSIN
Social Worker
4641 ROOSEVELT BLVD, ORLEANS BLDG
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2836
MRS. MARIANN MONTELEONE RN
Registered Nurse (Psychiatric/Mental Health)
4641 ROOSEVELT BLVD
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-2964
DR. MITZIE L GRANT PHD.
Clinical Neuropsychologist
4641 ROOSEVELT BLVD, SUITE C229
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-4811

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 Sunil Verma's NPI number?

The NPI number for Sunil Verma is 1184651606. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Sunil Verma located?

Sunil Verma practices at 4641 Roosevelt Blvd, Philadelphia, PA 19124. The listed phone number is (215) 831-4811.

What is Sunil Verma's specialty?

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

Is Sunil Verma enrolled in Medicare?

Yes. Sunil Verma 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 Sunil Verma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sunil Verma reassigns Medicare benefits to 5 organizations: Tower Drexel Academic Medical Group LLC (Philadelphia, PA), Drexel University (Philadelphia, PA), Chestnut Hill Clinic Company, LLC (Philadelphia, PA), Tower Health Medical Group (Philadelphia, PA) and Pottstown Clinic Company LLC (Pottstown, 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 Sunil Verma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sunil Verma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sunil Verma 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 Sunil Verma affiliated with any hospitals?

According to CMS data, Sunil Verma is affiliated with Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Verma was last updated on August 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.