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MR. SOSHEEL NAYYER M.D
NPI 1295083616
Internal Medicine in Philadelphia, PA

Active since August 15, 2012PECOS EnrolledAccepts Medicare Assignment
4900 FRANKFORD AV, PHILADELPHIA, PA 19124(718) 219-3261 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2026, Jul 14, 2017 (2 updates tracked since 2017).

About Mr. Sosheel Nayyer M.d NPPES

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

MR. SOSHEEL NAYYER M.D (NPI 1295083616) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Texas (V3923) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Grand View Health, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1295083616
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. SOSHEEL NAYYERCredential: M.D
Location Address4900 FRANKFORD AVPhiladelphia, PA 19124
Mailing Address4900 Frankford AvePhiladelphia, PA 19124-2618 · (718) 219-3261
Phone(718) 219-3261
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateAugust 15, 2012
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1295083616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · V3923✔ Licensed in PA · MD451732
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.
4900 FRANKFORD AV, Philadelphia, PA 19124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Mr. Sosheel Nayyer 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 ID4385863497
PECOS Enrollment IDI20250530002489
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

3

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

Montgomery County Pulmonary And Sleep Consultants PC
16 mi
Pulmonary Disease
325 W GERMANTOWN PIKE STE 301
East Norriton, PA 19403
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 44 clinicians in this Medicare group
NPI 1932156791 (610) 275-2446
Hospitalist Medicine Physicians Of Texas - Burnet PLLC
1,265 mi
Hospitalist
5016 S US HIGHWAY 75
Denison, TX 75020
  • Reassigned Medicare billing, Texas enrollment
  • 112 clinicians in this Medicare group
NPI 1265275887 (833) 507-7992
Questcare Hospitalists PLLC
1,299 mi
Emergency Medicine
7777 FOREST LN
Dallas, TX 75230
  • Reassigned Medicare billing, Texas enrollment
  • 486 clinicians in this Medicare group
NPI 1265441620 (954) 939-5000

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.

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.
139 services133 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.
83 services82 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.
25 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Grand View Health

Acute Care Hospitals · Sellersville, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390057
Location700 Lawn AvenueSellersville, PA 18960 · Bucks County
Emergency services

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin 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
$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.

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 Sosheel Nayyer's NPI number?

The NPI number for Sosheel Nayyer is 1295083616. It was assigned to this individual provider in the NPPES registry on August 15, 2012.

Where is Sosheel Nayyer located?

Sosheel Nayyer practices at 4900 Frankford Av, Philadelphia, PA 19124. The listed phone number is (718) 219-3261.

What is Sosheel Nayyer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sosheel Nayyer enrolled in Medicare?

Yes. Sosheel Nayyer 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 Sosheel Nayyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sosheel Nayyer reassigns Medicare benefits to 3 organizations: Montgomery County Pulmonary And Sleep Consultants PC (East Norriton, PA), Hospitalist Medicine Physicians Of Texas - Burnet PLLC (Denison, TX) and Questcare Hospitalists PLLC (Dallas, TX). 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 Sosheel Nayyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sosheel Nayyer accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Sosheel Nayyer 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 Sosheel Nayyer affiliated with any hospitals?

According to CMS data, Sosheel Nayyer is affiliated with Grand View Health and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Sosheel Nayyer was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.