1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

TARA SULUR MD
NPI 1407485279
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 03, 2020PECOS Enrolled
833 CHESTNUT ST FL 1, PHILADELPHIA, PA 19107(215) 955-6776 Get Directions Write a Review

NPPES record last updated: October 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tara Sulur Md NPPES

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

TARA SULUR MD (NPI 1407485279) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407485279
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARA SULURCredential: MD
Location Address833 CHESTNUT ST FL 1Philadelphia, PA 19107-4404
Mailing Address833 Chestnut St Fl 1Philadelphia, PA 19107-4404 · (215) 955-1085
Phone(215) 955-6776
Sole ProprietorNo
Enumeration DateApril 3, 2020
Last NPPES UpdateOctober 25, 2024
NPPES CertifiedApril 3, 2020
✔ NPI 1407485279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
833 CHESTNUT ST FL 1, Philadelphia, PA 19107
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara Sulur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tara Sulur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,368 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

FARHEEN ZAMAN
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6776
OBIANUJU EGWUONWU
Obstetrics & Gynecology
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
NADINE AHMED EL FAWAL
Obstetrics & Gynecology
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6776
MEGAN A DUFFY CNMW
Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
AMELIA HOPE ALBERTS MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6776
JATOLLOA DAVIS CNM, MSN
Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
JEFFERSON UNIVERSITY PHYSICIANS
Obstetrics & Gynecology (Maternal & Fetal Medicine)
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000
JULIE VISK
Advanced Practice Midwife
833 CHESTNUT ST FL 1
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5000

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 Tara Sulur's NPI number?

The NPI number for Tara Sulur is 1407485279. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Tara Sulur located?

Tara Sulur practices at 833 Chestnut St Fl 1, Philadelphia, PA 19107. The listed phone number is (215) 955-6776.

What is Tara Sulur's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tara Sulur enrolled in Medicare?

Yes. Tara Sulur is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tara Sulur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Sulur reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Tara Sulur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tara Sulur was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.