NISHANTHINI SOORIYAPALAN MD
NPI 1447563515
Family Medicine in Cleveland, OH

Q: What is Nishanthini Sooriyapalan's NPI number?

The NPI number for Nishanthini Sooriyapalan is 1447563515. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Q: What is Nishanthini Sooriyapalan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 19, 2010PECOS EnrolledAccepts Medicare Assignment

4071 LEE RD, CLEVELAND, OH 44128(216) 957-1200(216) 752-0494 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2020, Nov 16, 2016 (2 updates tracked since 2016).

On this page

About Nishanthini Sooriyapalan Md NPPES

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

NISHANTHINI SOORIYAPALAN MD (NPI 1447563515) is an individual family medicine provider in Cleveland, Ohio, licensed in Ohio (35.121748) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1447563515

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNISHANTHINI SOORIYAPALANCredential: MD

Location Address4071 LEE RDCleveland, OH 44128-2100

Mailing Address4071 Lee RdCleveland, OH 44128-2100 · (216) 957-1200 · Fax (216) 752-0494

Phone(216) 957-1200

Fax(216) 752-0494

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 19, 2010

Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration

NPPES CertifiedNovember 17, 2020

✔ NPI 1447563515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35.121748

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4071 LEE RD, Cleveland, OH 44128

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Nishanthini Sooriyapalan Md 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 ID9931341518

PECOS Enrollment IDI20130810000104

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 Nishanthini Sooriyapalan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Primary Care Practices Inc

1.7 mi

Internal Medicine

3605 WARRENSVILLE CENTER RD
Shaker Heights, OH 44122

Reassigned Medicare billing, Ohio enrollment
1,437 clinicians in this Medicare group

NPI 1720220098 (216) 383-6776

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 16

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.

263 services155 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

172 services117 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

158 services158 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

106 services70 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

82 services60 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

78 services65 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

59 services57 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

55 services53 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

31 services31 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

29 services16 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

28 services14 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

24 services22 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

19 services19 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

18 services17 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

15 services15 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number360075

Location13207 Ravenna RoadChardon, OH 44024 · Geauga County

Emergency services Birthing friendly

Lake Health

Acute Care Hospitals · Concord, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360098

Location7590 Auburn RoadConcord, OH 44077 · Lake County

Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number361307

Location870 West Main StreetGeneva, OH 44041 · Ashtabula County

Emergency services

University Hospitals Conneaut Medical Center

Critical Access Hospitals · Conneaut, OH

OwnershipVoluntary non-profit - Other

CMS Certification Number361308

Location158 West Main RoadConneaut, OH 44030 · Ashtabula County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44128 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

9 suppliers44 claims116 services$6.41 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers15 claims17 services$1.09 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier20 claims20 services$20.13 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers19 claims25 services$6.86 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier56 claims56 services$105.80 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers14 claims2,709 services$0.03 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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCHELE M BEACHY MD

Family Medicine

4071 LEE RD, METROHEALTH LEE-HARVARD HEALTH CENTER
CLEVELAND, OH 44128

Cuyahoga County (216) 957-1200

DR. BRITTINY BROWN PHARMD

Pharmacist

4071 LEE RD
CLEVELAND, OH 44128

Cuyahoga County (216) 561-1318

HUSSEIN ALGAFRI

Dentist (General Practice)

4071 LEE RD, 260
CLEVELAND, OH 44128

Cuyahoga County (216) 727-0234

BAR-LOR INC.

Home Health

4071 LEE RD, SUITE B1
CLEVELAND, OH 44128

Cuyahoga County (216) 561-2296

TARTEEL ELWALEED MEKKI

Dentist (General Practice)

4071 LEE RD
CLEVELAND, OH 44128

Cuyahoga County (216) 727-0124

BAR-LOR INC.

Home Health

4071 LEE RD, B1
CLEVELAND, OH 44128

Cuyahoga County (216) 587-1175

LATICIA DAVON JOLLY RPH

Pharmacist

4071 LEE RD
CLEVELAND, OH 44128

Cuyahoga County (216) 561-1318

RAYAN TAHA DDS

Student in an Organized Health Care Education/Training Program

4071 LEE RD, SUITE 260
CLEVELAND, OH 44128

Cuyahoga County (216) 727-0234

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 Nishanthini Sooriyapalan's NPI number?

The NPI number for Nishanthini Sooriyapalan is 1447563515. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Nishanthini Sooriyapalan located?

Nishanthini Sooriyapalan practices at 4071 Lee Rd, Cleveland, OH 44128. The listed phone number is (216) 957-1200.

What is Nishanthini Sooriyapalan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nishanthini Sooriyapalan enrolled in Medicare?

Yes. Nishanthini Sooriyapalan 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 organization bills Medicare for Nishanthini Sooriyapalan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nishanthini Sooriyapalan reassigns Medicare benefits to University Primary Care Practices Inc (Shaker Heights, OH). 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 Nishanthini Sooriyapalan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nishanthini Sooriyapalan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Nishanthini Sooriyapalan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nishanthini Sooriyapalan affiliated with any hospitals?

According to CMS data, Nishanthini Sooriyapalan is affiliated with Uh Regional Hospitals, Lake Health, Uh Cleveland Medical Center, Uhhs Memorial Hospital Of Geneva and University Hospitals Conneaut Medical Center.

When was this NPI record last updated?

The NPPES record for Nishanthini Sooriyapalan was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.