MRS. SOPHIA BANU VANATHAYAN FNP-BC
NPI 1417438805
Nurse Practitioner - Family in Washington, DC

Active since August 24, 2018PECOS EnrolledAccepts Medicare Assignment
93.55/100
CMS Quality Rating
110 IRVING ST NW, WASHINGTON, DC 20010(202) 877-8000 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Sophia Banu Vanathayan Fnp-bc NPPES

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

MRS. SOPHIA BANU VANATHAYAN FNP-BC (NPI 1417438805) is an individual family provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1015098) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417438805
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SOPHIA BANU VANATHAYANCredential: FNP-BC
Location Address110 IRVING ST NWWashington, DC 20010-3017
Mailing Address3615 Pocono PlBeltsville, MD 20705-3546 · (301) 980-8428
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 24, 2018
✔ NPI 1417438805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in DC · RN1015098
110 IRVING ST NW, Washington, DC 20010

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

Mrs. Sophia Banu Vanathayan Fnp-bc 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 ID143566752
PECOS Enrollment IDI20190117002587
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

2

Medicare enrollment records show Sophia Vanathayan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
Nurse Practitioner
110 IRVING ST NW, MEDICAL AFFAIRS
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 264 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

93.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.86
Promoting Interoperability100
Improvement Activities40
Cost57.31

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims63 services$6.59 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$184.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010

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 Sophia Vanathayan's NPI number?

The NPI number for Sophia Vanathayan is 1417438805. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Sophia Vanathayan located?

Sophia Vanathayan practices at 110 Irving St NW, Washington, DC 20010. The listed phone number is (202) 877-8000.

What is Sophia Vanathayan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sophia Vanathayan enrolled in Medicare?

Yes. Sophia Vanathayan 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 Sophia Vanathayan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Vanathayan reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Washington, DC) and Washington Hospital Center Corp (Washington, DC). 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 Sophia Vanathayan'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 Sophia Vanathayan was last updated on August 24, 2018. 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.