NISHANTHINI SOORIYAPALAN MD
NPI 1447563515
Family Medicine in Cleveland, OH

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: August 16, 2026.

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

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
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.
4071 LEE RD, Cleveland, OH 44128

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

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.

Family Medicine
4071 LEE RD, METROHEALTH LEE-HARVARD HEALTH CENTER
CLEVELAND, OH 44128
Pharmacist
4071 LEE RD
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD, 260
CLEVELAND, OH 44128
Home Health
4071 LEE RD, SUITE B1
CLEVELAND, OH 44128
Dentist (General Practice)
4071 LEE RD
CLEVELAND, OH 44128
Home Health
4071 LEE RD, B1
CLEVELAND, OH 44128
Pharmacist
4071 LEE RD
CLEVELAND, OH 44128
Student in an Organized Health Care Education/Training Program
4071 LEE RD, SUITE 260
CLEVELAND, OH 44128

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.

What insurance does Nishanthini Sooriyapalan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer 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.