KRISHNASAMY SOUNDARARAJAN M.D.
NPI 1306947783
Surgery - Vascular Surgery in New York, NY

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
1190 5TH AVE, GP1, 1ST FLOOR, NEW YORK, NY 10029(212) 241-5603(212) 987-9310 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krishnasamy Soundararajan M.d. NPPES

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

KRISHNASAMY SOUNDARARAJAN M.D. (NPI 1306947783) is an individual vascular surgery provider in New York, New York, licensed in Pennsylvania (MD061319L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and maintains a secondary practice location in Upland.

NPPES Registry Identity

NPI1306947783
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameKRISHNASAMY SOUNDARARAJANCredential: M.D.
Location Address1190 5TH AVE, GP1, 1ST FLOORNew York, NY 10029
Mailing Address1425 Madison Avenue, Box 1273New York, NY 10029
Fax(212) 987-9310
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 26, 2006
Last NPPES UpdateOctober 25, 2017
NPI 1306947783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in PA · MD061319L
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1190 5TH AVE, New York, NY 10029

Secondary Practice Location 1

Location 1One Medical Center Blvd, Suite 233Upland, PA 19013-3902 · Phone (610) 499-0400 · Fax (610) 499-1970

Other Identifiers 1

Medicare UPINH21706PA

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

Krishnasamy Soundararajan 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 ID6800816091
PECOS Enrollment IDI20150317000100
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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
84 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Queens Hospital Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330231
Location82-68 164th StreetJamaica, NY 11432 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
Internal Medicine (Nephrology)
1190 5TH AVE
NEW YORK, NY 10029
Surgery (Vascular Surgery)
1190 5TH AVE, GP1 1ST FLOOR
NEW YORK, NY 10029
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
Physician Assistant
1190 5TH AVE
NEW YORK, NY 10029
Nurse Practitioner (Acute Care)
1190 5TH AVE
NEW YORK, NY 10029

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 Krishnasamy Soundararajan's NPI number?

The NPI number for Krishnasamy Soundararajan is 1306947783. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Krishnasamy Soundararajan located?

Krishnasamy Soundararajan practices at 1190 5th Ave Gp1, 1st Floor, New York, NY 10029. The listed phone number is (212) 241-5603.

What is Krishnasamy Soundararajan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Krishnasamy Soundararajan enrolled in Medicare?

Yes. Krishnasamy Soundararajan 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.

Is Krishnasamy Soundararajan affiliated with any hospitals?

According to CMS data, Krishnasamy Soundararajan is affiliated with Mount Sinai Hospital and Queens Hospital Center.

When was this NPI record last updated?

The NPPES record for Krishnasamy Soundararajan was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.