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DR. ANUPMA NAYAK MD
NPI 1598055873
Pathology - Anatomic Pathology in Philadelphia, PA

Active since April 07, 2011PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
800 SPRUCE ST, PHILADELPHIA, PA 19107(215) 829-3000(215) 829-7564 Get Directions Write a Review

NPPES record last updated: October 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anupma Nayak Md NPPES

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

DR. ANUPMA NAYAK MD (NPI 1598055873) is an individual anatomic pathology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD459281) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1598055873
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameDR. ANUPMA NAYAKCredential: MD
Location Address800 SPRUCE STPhiladelphia, PA 19107-6130
Mailing Address800 Spruce StPhiladelphia, PA 19107-6130 · (215) 829-3000 · Fax (215) 829-7564
Phone(215) 829-3000
Fax(215) 829-7564
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateApril 7, 2011
Last NPPES UpdateOctober 29, 2019
✔ NPI 1598055873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in PA · MD459281
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License MD459281 (PA)
800 SPRUCE ST, Philadelphia, PA 19107
Open in Google Maps ↗

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

Dr. Anupma Nayak 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 ID2668644295
PECOS Enrollment IDI20161027001128
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 6

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
337 services138 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
221 services84 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
86 services44 patients
Surgical pathology consultation and report on referred slides prepared elsewhere 88321
A surgical pathology consultation involves reviewing slides prepared at a different lab to confirm or clarify a diagnosis. It's a second opinion to ensure accuracy. A report with findings and interpretations is then provided for your doctor's reference.
46 services44 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
32 services23 patients
Pathology examination of tissue using a microscope, limited examination 88300
A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
22 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

JENNA SNYDER MD
Obstetrics & Gynecology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (856) 803-3694
MR. ANTHONY JOHN CORDISCO
Student in an Organized Health Care Education/Training Program
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 316-5151
PEDRO GONZALEZ-ALEGRE MD
Psychiatry & Neurology (Neurology)
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
CATRINA JONES CRNA
Nurse Anesthetist, Certified Registered
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
KATHLEEN M VELOSO MD
Anesthesiology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
MICHELLE RAE HALVORSEN CRNP
Nurse Practitioner (Neonatal)
800 SPRUCE ST, 2 CATHCART
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3301
MOHAMMAD M SARHAN MD
Hospitalist
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410
NEEPA SHAH MD
Internal Medicine
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410

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 Anupma Nayak's NPI number?

The NPI number for Anupma Nayak is 1598055873. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Anupma Nayak located?

Anupma Nayak practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 829-3000.

What is Anupma Nayak's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Anupma Nayak enrolled in Medicare?

Yes. Anupma Nayak 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.

Is Anupma Nayak affiliated with any hospitals?

According to CMS data, Anupma Nayak is affiliated with Hospital Of Univ Of Pennsylvania and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Anupma Nayak was last updated on October 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.