SOPHIA TSIRIS KUNKLE MD
NPI 1497216519
Family Medicine in Pittsburgh, PA
About Sophia Tsiris Kunkle Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOPHIA TSIRIS KUNKLE MD (NPI 1497216519) is an individual family medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD476796) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Heritage Valley Beaver, and maintains a secondary practice location in Beaver Falls.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted 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
Sophia Tsiris Kunkle 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.
Medicare Billing Reassignments
5Medicare enrollment records show Sophia Kunkle reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pittsburgh, PA 15227
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Pittsburgh, PA 15227
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,182 clinicians in this Medicare group
Pittsburgh, PA 15226
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Beaver, PA 15009
- Reassigned Medicare billing, Pennsylvania enrollment
- 13 clinicians in this Medicare group
Beaver Falls, PA 15010
- Reassigned Medicare billing, Pennsylvania enrollment
- 7 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.
Heritage Valley Beaver
Acute Care Hospitals · Beaver, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15227 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PITTSBURGH, PA 15227
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 Kunkle's NPI number?
The NPI number for Sophia Kunkle is 1497216519. It was assigned to this individual provider in the NPPES registry on March 29, 2019. The provider is also known as Sophia I Tsiris.
Where is Sophia Kunkle located?
Sophia Kunkle practices at 147 Towne Square Way, Pittsburgh, PA 15227. The listed phone number is (412) 942-1085.
What is Sophia Kunkle's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sophia Kunkle enrolled in Medicare?
Yes. Sophia Kunkle 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 Kunkle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sophia Kunkle reassigns Medicare benefits to 5 organizations: Allegheny Clinic (Pittsburgh, PA), Upmc Community Medicine Inc (Pittsburgh, PA), University Of Pittsburgh Physicians (Pittsburgh, PA), Valley Medical Facilities Inc (Beaver, PA) and Tri State Obstetrics & Gynecology (Beaver Falls, 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 Sophia Kunkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sophia Kunkle accept?
Health plans from CareSource list Sophia Kunkle 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 Sophia Kunkle affiliated with any hospitals?
According to CMS data, Sophia Kunkle is affiliated with Heritage Valley Beaver.
When was this NPI record last updated?
The NPPES record for Sophia Kunkle was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Sophia Tsiris Kunkle, MD · NPI 1497216519
Family Medicine physician in Pittsburgh, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 29, 2019.
## Identity
- **NPI:** 1497216519 (Entity type: Individual)
- **Enumerated:** March 29, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD476796 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 147 TOWNE SQUARE WAY, Pittsburgh, PA 15227-3259
- **Phone:** (412) 942-1085 · **Fax:** (412) 942-0855
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1942516000, Pittsburgh, PA); Upmc Community Medicine Inc (NPI 1598891608, Pittsburgh, PA); University Of Pittsburgh Physicians (NPI 1245414127, Pittsburgh, PA); Valley Medical Facilities Inc (NPI 1063422053, Beaver, PA); Tri State Obstetrics & Gynecology (NPI 1568419281, Beaver Falls, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1497216519) · Data from the CMS NPPES public registry.