DR. SOWMINI MEDAVARAM MD
NPI 1255775987
Internal Medicine - Hematology & Oncology in Martinsburg, WV
About Dr. Sowmini Medavaram Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SOWMINI MEDAVARAM MD (NPI 1255775987) is an individual hematology & oncology provider in Martinsburg, West Virginia, licensed in West Virginia (29028) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and maintains a secondary practice location in Newark.
NPPES Registry Identity
Specialties & Licenses 2
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Secondary Practice Location 1
Accepted Insurance
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. Sowmini Medavaram 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.
Areas of Expertise CMS Part B claims 6
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
West Virginia University Hospitals, Inc
Acute Care Hospitals · Morgantown, WVBerkeley Medical Center
Acute Care Hospitals · Martinsburg, WVJefferson Medical Center
Critical Access Hospitals · Ranson, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
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 Sowmini Medavaram's NPI number?
The NPI number for Sowmini Medavaram is 1255775987. It was assigned to this individual provider in the NPPES registry on April 24, 2013.
Where is Sowmini Medavaram located?
Sowmini Medavaram practices at 2000 Foundation Way Ste 2600, Martinsburg, WV 25401. The listed phone number is (304) 267-1944.
What is Sowmini Medavaram's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.
Is Sowmini Medavaram enrolled in Medicare?
Yes. Sowmini Medavaram 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.
What insurance does Sowmini Medavaram accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Sowmini Medavaram 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 Sowmini Medavaram affiliated with any hospitals?
According to CMS data, Sowmini Medavaram is affiliated with West Virginia University Hospitals, Inc, Berkeley Medical Center and Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for Sowmini Medavaram was last updated on April 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
