SPHOORTHI JINNA M. D.
NPI 1588906028
Dermatology - MOHS-Micrographic Surgery in East Syracuse, NY

Q: What is Sphoorthi Jinna's NPI number?

The NPI number for Sphoorthi Jinna is 1588906028. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Q: What is Sphoorthi Jinna's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Q: When was this NPI record last updated?

The NPPES record for Sphoorthi Jinna was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment

82.47/100

CMS Quality Rating

5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057(315) 500-7546 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 15, 2022, Jan 9, 2020, Dec 18, 2019 (3 updates tracked since 2019).

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About Sphoorthi Jinna M. D. NPPES

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

SPHOORTHI JINNA M. D. (NPI 1588906028) is an individual mohs-micrographic surgery provider in East Syracuse, New York, licensed in New York (292483) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1588906028

Entity TypeIndividualFemale

Primary Taxonomy207ND0101X

Provider Legal NameSPHOORTHI JINNACredential: M. D.

Location Address5823 WIDEWATERS PKWYEast Syracuse, NY 13057-3084

Mailing Address5823 Widewaters PkwyEast Syracuse, NY 13057-3084 · (315) 500-7546

Phone(315) 500-7546

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 22, 2013

Last NPPES UpdateJuly 22, 20253 updates tracked since enumeration

NPPES CertifiedJuly 22, 2025

✔ NPI 1588906028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in NY · 292483

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

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

5823 WIDEWATERS PKWY, East Syracuse, NY 13057

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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

Sphoorthi Jinna M. D. 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 ID9335442623

PECOS Enrollment IDI20190507002694

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 10

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311

This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.

206 services175 patients

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312

This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.

91 services64 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

85 services83 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.

34 services33 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

25 services25 patients

Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks 17313

This procedure involves the removal of a growth from your trunk, arms, or legs. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to identify any abnormalities. This helps in diagnosing and planning further treatment.

24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13057 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.51

Promoting Interoperability

Improvement Activities

Cost

65.56

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.

MARK RUSSO ATC, CSCS

Specialist/Technologist (Athletic Trainer)

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 701-4000

HEIDI LEIGH DIMEIS NP

Nurse Practitioner

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

RENEE S MELFI MD

Physical Medicine & Rehabilitation (Pain Medicine)

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 701-4000

CONNOR DELANEY DPT

Physical Therapist

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 418-4013

BRIAN RAPHAEL M.D.

Dermatology (MOHS-Micrographic Surgery)

5823 WIDEWATERS PKWY, SUITE 4
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

RSM MEDICAL ASSOCIATES, PLLC

Orthopaedic Surgery

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 426-0190

MARGARET DRESCHER PA

Physician Assistant

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

CNY INTERNISTS, PC

Internal Medicine

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 449-4028

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 Sphoorthi Jinna's NPI number?

The NPI number for Sphoorthi Jinna is 1588906028. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Sphoorthi Jinna located?

Sphoorthi Jinna practices at 5823 Widewaters Pkwy, East Syracuse, NY 13057. The listed phone number is (315) 500-7546.

What is Sphoorthi Jinna's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Sphoorthi Jinna enrolled in Medicare?

Yes. Sphoorthi Jinna 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.

When was this NPI record last updated?

The NPPES record for Sphoorthi Jinna was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.