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NEEDHI PATTANI D.O.
NPI 1528595287
Family Medicine in Philadelphia, PA

Active since May 12, 2017PECOS EnrolledAccepts Medicare Assignment
5401 OLD YORK RD STE 331, PHILADELPHIA, PA 19141(215) 456-8220(215) 456-5820 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 22, 2021, Nov 19, 2020, Jun 29, 2020 and 1 more (4 updates tracked since 2017).

About Needhi Pattani D.o. NPPES

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

NEEDHI PATTANI D.O. (NPI 1528595287) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS020910) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1528595287
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNEEDHI PATTANICredential: D.O.
Location Address5401 OLD YORK RD STE 331Philadelphia, PA 19141-3045
Mailing Address101 E Olney Ave, Ste 400Philadelphia, PA 19120-2470 · (215) 456-1825 · Fax (215) 456-5926
Phone(215) 456-8220
Fax(215) 456-5820
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017
Enumeration DateMay 12, 2017
Last NPPES UpdateFebruary 22, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
✔ NPI 1528595287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · OS020910✔ Licensed in DE · C2-0013402
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.
5401 OLD YORK RD STE 331, Philadelphia, PA 19141
Open in Google Maps ↗

Secondary Practice Location 1

Location 14755 Ogletown Stanton Rd Ste 5A43Newark, DE 19718-2200 · Phone (302) 623-0188

Other Identifiers 1

Medicaid103838287PA

Accepted Insurance

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

Needhi Pattani D.o. 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 ID7012286198
PECOS Enrollment IDI20200706000333, I20201120000067
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

3

Medicare enrollment records show Needhi Pattani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Einstein Practice Plan, Inc.
Same address
Ophthalmology
5401 OLD YORK RD, SUITE 201
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
NPI 1154419166 (215) 456-7150
Einstein Community Health Associates, Inc
1.1 mi
Family Medicine
101 E OLNEY AVE, SUITE 400
Phila, PA 19120
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1427662931 (Pennsylvania)
  • 289 clinicians in this Medicare group
NPI 1558316109 (215) 456-7000
Christiana Care Health Services Inc
37 mi
Hospitalist
200 HYGEIA DR, SUITE 2100
Newark, DE 19713
  • Reassigned Medicare billing, Delaware enrollment
  • 460 clinicians in this Medicare group
NPI 1245474329 (302) 623-0188

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 12

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 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.
123 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
68 services46 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services25 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.
24 services24 patients
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.
23 services20 patients

Hospital Affiliations CMS Care Compare

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

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

Iv pole E0776
DME-Other DME · category DE000N
2 suppliers12 claims12 services$8.56 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 3

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

FRANCESCA HECTOR
Nurse Practitioner (Family)
5401 OLD YORK RD STE 331
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8220
MRS. CARMEN SANDRIDGE DO
Internal Medicine
5401 OLD YORK RD STE 331
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8220
SHIVANANDH CHANDRASEKARAN MD
Internal Medicine
5401 OLD YORK RD STE 331
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8220

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 Needhi Pattani's NPI number?

The NPI number for Needhi Pattani is 1528595287. It was assigned to this individual provider in the NPPES registry on May 12, 2017.

Where is Needhi Pattani located?

Needhi Pattani practices at 5401 Old York Rd Ste 331, Philadelphia, PA 19141. The listed phone number is (215) 456-8220.

What is Needhi Pattani's specialty?

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

Is Needhi Pattani enrolled in Medicare?

Yes. Needhi Pattani 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 Needhi Pattani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Needhi Pattani reassigns Medicare benefits to 3 organizations: Einstein Practice Plan, Inc. (Philadelphia, PA), Einstein Community Health Associates, Inc (Phila, PA) and Christiana Care Health Services Inc (Newark, DE). 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 Needhi Pattani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Needhi Pattani accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and AmeriHealth Caritas Next list Needhi Pattani 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 Needhi Pattani affiliated with any hospitals?

According to CMS data, Needhi Pattani is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Needhi Pattani was last updated on February 22, 2021. 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.