Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. SOFIANE YOUCEF KOUADRIA MD
NPI 1508789744
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since August 03, 2026PECOS Enrolled
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-6400 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Sofiane Youcef Kouadria Md NPPES

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

DR. SOFIANE YOUCEF KOUADRIA MD (NPI 1508789744) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT236259) and active in the NPI registry since August 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508789744
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SOFIANE YOUCEF KOUADRIACredential: MD
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address3401 N Broad StPhiladelphia, PA 19140-5103
Sole ProprietorNo
Enumeration DateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
NPI 1508789744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · MT236259
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.
3401 N BROAD ST, Philadelphia, PA 19140

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Sofiane Youcef Kouadria 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.

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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Sofiane Kouadria's NPI number?

The NPI number for Sofiane Kouadria is 1508789744. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Where is Sofiane Kouadria located?

Sofiane Kouadria practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-6400.

What is Sofiane Kouadria's specialty?

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

Is Sofiane Kouadria enrolled in Medicare?

Yes. Sofiane Kouadria is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sofiane Kouadria was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.