KRISHNASAMY SOUNDARARAJAN M.D.
NPI 1306947783
Surgery - Vascular Surgery in New York, NY
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Krishnasamy Soundararajan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 329 clinicians in this Medicare group
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 623 clinicians in this Medicare group
Elmhurst, NY 11373
- Reassigned Medicare billing, New York enrollment
- 836 clinicians in this Medicare group
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
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 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, NYQueens Hospital Center
Acute Care Hospitals · Jamaica, NYPhysician 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.
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.
NEW YORK, NY 10029
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.
Which organizations bill Medicare for Krishnasamy Soundararajan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krishnasamy Soundararajan reassigns Medicare benefits to 3 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY), Metropolitan Medical Practice Plan PC (New York, NY) and Icahn School Of Medicine At Mount Sinai (Elmhurst, NY). 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 Krishnasamy Soundararajan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 9 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.
# Krishnasamy Soundararajan, M.D. · NPI 1306947783
Vascular Surgery physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 26, 2006.
## Identity
- **NPI:** 1306947783 (Entity type: Individual)
- **Enumerated:** September 26, 2006
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** MD061319L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1190 5TH AVE, GP1, 1ST FLOOR, New York, NY 10029
- **Phone:** (212) 241-5603 · **Fax:** (212) 987-9310
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Icahn School Of Medicine At Mount Sinai (NPI 1215488127, New York, NY); Metropolitan Medical Practice Plan PC (NPI 1306138383, New York, NY); Icahn School Of Medicine At Mount Sinai (NPI 1063766038, Elmhurst, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** October 25, 2017
- **Other identifiers:** Medicare UPIN H21706 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1306947783) · Data from the CMS NPPES public registry.