SOWMYA PINNAMANENI M.D
NPI 1215261268
Internal Medicine - Cardiovascular Disease in Burnham, PA

Q: What is Sowmya Pinnamaneni's NPI number?

The NPI number for Sowmya Pinnamaneni is 1215261268. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Q: What is Sowmya Pinnamaneni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since September 23, 2009PECOS EnrolledAccepts Medicare Assignment

217 S LOGAN BLVD, BURNHAM, PA 17009(717) 248-5431 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Sowmya Pinnamaneni M.d NPPES

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

SOWMYA PINNAMANENI M.D (NPI 1215261268) is an individual cardiovascular disease provider in Burnham, Pennsylvania, licensed in Pennsylvania (MD455112) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and maintains a secondary practice location in State College.

NPPES Registry Identity

NPI1215261268

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameSOWMYA PINNAMANENICredential: M.D

Location Address217 S LOGAN BLVDBurnham, PA 17009-1825

Mailing Address217 S Logan BlvdBurnham, PA 17009-1825 · (717) 248-5431

Phone(717) 248-5431

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 23, 2009

Last NPPES UpdateFebruary 7, 2025

NPPES CertifiedFebruary 4, 2025

✔ NPI 1215261268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD455112

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

217 S LOGAN BLVD, Burnham, PA 17009

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Secondary Practice Location 1

Location 11800 E Park AveState College, PA 16803-6701 · Phone (814) 231-7000 · Fax (814) 231-7098

Accepted Insurance

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

Sowmya Pinnamaneni M.d 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 ID3971810821

PECOS Enrollment IDI20150910000405

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

Medicare enrollment records show Sowmya Pinnamaneni reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic

1.8 mi

Internal Medicine

21 GEISINGER LN
Lewistown, PA 17044

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1770534166 (717) 242-4200

Mount Nittany Medical Center Health Services Inc

21 mi

Internal Medicine

155 WELLNESS WAY
State College, PA 16803

Reassigned Medicare billing, Pennsylvania enrollment
393 clinicians in this Medicare group

NPI 1598992554 (814) 231-7000

Geisinger-Hm Joint Venture, LLC

35 mi

Family Medicine

529 HIGH ST
Lock Haven, PA 17745

Reassigned Medicare billing, Pennsylvania enrollment
1,405 clinicians in this Medicare group

NPI 1427604222 (570) 748-8038

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 21

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,283 services831 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

414 services399 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.

115 services103 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

74 services73 patients

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.

69 services47 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

66 services66 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

64 services64 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

61 services60 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

44 services44 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.

39 services37 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

36 services36 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

36 services31 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.

36 services25 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

35 services35 patients

Injection of x-ray contrast during ultrasound of heart 93352

This procedure involves injecting a special dye into your bloodstream during a heart ultrasound. This dye, visible on X-rays, helps create clearer images of your heart's structure and function. It's safe and assists in diagnosing heart conditions accurately.

31 services31 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report 93351

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

24 services24 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

23 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

19 services19 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

15 services15 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Geisinger-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390048

Location400 Highland AvenueLewistown, PA 17044 · Mifflin County

Emergency services Birthing friendly

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390056

Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County

Emergency services

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390268

Location1800 East Park AveState College, PA 16803 · Centre County

Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390270

Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17009 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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 4

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

RACHAEL DENAE HENRY PA-C

Physician Assistant

217 S LOGAN BLVD
BURNHAM, PA 17009

Mifflin County (717) 248-5431

GEISINGER CLINIC

Internal Medicine (Cardiovascular Disease)

217 S LOGAN BLVD
BURNHAM, PA 17009

Mifflin County (717) 248-5431

DR. KENNEDY K ENEH M.D.

Internal Medicine (Critical Care Medicine)

217 S LOGAN BLVD
BURNHAM, PA 17009

Mifflin County (717) 242-2711

JOHN P MCNAMARA DO

Internal Medicine (Cardiovascular Disease)

217 S LOGAN BLVD
BURNHAM, PA 17009

Mifflin County (717) 248-5431

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 Pinnamaneni's NPI number?

The NPI number for Sowmya Pinnamaneni is 1215261268. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Sowmya Pinnamaneni located?

Sowmya Pinnamaneni practices at 217 S Logan Blvd, Burnham, PA 17009. The listed phone number is (717) 248-5431.

What is Sowmya Pinnamaneni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sowmya Pinnamaneni enrolled in Medicare?

Yes. Sowmya Pinnamaneni 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 Sowmya Pinnamaneni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sowmya Pinnamaneni reassigns Medicare benefits to 3 organizations: Geisinger Clinic (Lewistown, PA), Mount Nittany Medical Center Health Services Inc (State College, PA) and Geisinger-Hm Joint Venture, LLC (Lock Haven, 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 Sowmya Pinnamaneni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sowmya Pinnamaneni accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Sowmya Pinnamaneni 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 Sowmya Pinnamaneni affiliated with any hospitals?

According to CMS data, Sowmya Pinnamaneni is affiliated with Geisinger Medical Center, Geisinger-Lewistown Hospital, Penn Highlands Huntingdon, Mount Nittany Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Sowmya Pinnamaneni was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.