MINI SAJAN
NPI 1356069314
Nurse Practitioner - Family in Philadelphia, PA
About Mini Sajan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINI SAJAN (NPI 1356069314) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP025557) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Temple University School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
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
Mini Sajan 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
2Medicare enrollment records show Mini Sajan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19121
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,991 clinicians in this Medicare group
Philadelphia, PA 19150
- Reassigned Medicare billing, Pennsylvania enrollment
- 48 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Temple University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19121 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mini Sajan's NPI number?
The NPI number for Mini Sajan is 1356069314. It was assigned to this individual provider in the NPPES registry on August 16, 2022.
Where is Mini Sajan located?
Mini Sajan practices at 2124 W Diamond St, Philadelphia, PA 19121. The listed phone number is (267) 671-7114.
What is Mini Sajan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mini Sajan enrolled in Medicare?
Yes. Mini Sajan 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 Mini Sajan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mini Sajan reassigns Medicare benefits to 2 organizations: Temple Faculty Practice Plan Inc (Philadelphia, PA) and Excel Medical Center (Philadelphia, 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 Mini Sajan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mini Sajan affiliated with any hospitals?
According to CMS data, Mini Sajan is affiliated with Temple University Hospital.
When was this NPI record last updated?
The NPPES record for Mini Sajan was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mini Sajan · NPI 1356069314
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 16, 2022.
## Identity
- **NPI:** 1356069314 (Entity type: Individual)
- **Enumerated:** August 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP025557 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 2124 W DIAMOND ST, Philadelphia, PA 19121-1431
- **Phone:** (267) 671-7114
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Temple Faculty Practice Plan Inc (NPI 1487136495, Philadelphia, PA); Excel Medical Center (NPI 1942521810, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** October 19, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1356069314) · Data from the CMS NPPES public registry.