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SUDHA R PATNAIK M.D.
NPI 1679509855
General Practice in Philadelphia, PA

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
7131 RISING SUN AVE, PHILADELPHIA, PA 19111(215) 821-2305(215) 220-2600 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sudha R Patnaik M.d. NPPES

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

SUDHA R PATNAIK M.D. (NPI 1679509855) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD038790L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1967).

NPPES Registry Identity

NPI1679509855
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameSUDHA R PATNAIKCredential: M.D.
Location Address7131 RISING SUN AVEPhiladelphia, PA 19111-3924
Mailing Address7515 Stenton AvePhiladelphia, PA 19150-3710 · (267) 335-5273 · Fax (267) 335-5273
Phone(215) 821-2305
Fax(215) 220-2600
Sole ProprietorNo
Medical School CMSOtherGraduated 1967
Enumeration DateJune 23, 2006
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1679509855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · MD038790L
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7131 RISING SUN AVE, Philadelphia, PA 19111
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Secondary Practice Locations 2

Location 13001 Walnut StPhiladelphia, PA 19104-3414 · Phone (215) 386-3556
Location 27515 Stenton AvePhiladelphia, PA 19150-3710 · Phone (267) 335-5273 · Fax (267) 335-5273

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

Sudha R Patnaik 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 ID1759428683
PECOS Enrollment IDI20091027000334
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 Reassignment

Medicare enrollment records show Sudha Patnaik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excel Medical Center
4.4 mi
Internal Medicine
7515 STENTON AVE
Philadelphia, PA 19150
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 48 clinicians in this Medicare group
NPI 1942521810 (267) 335-5264

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 3

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.
37 services23 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.
30 services24 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
15 services12 patients

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.

DR. MARY ROSALIND THORNTON-BOWMER DNP, CRNP, FNP-BC
Nurse Practitioner (Family)
7131 RISING SUN AVE
PHILADELPHIA, PA 19111
Philadelphia County (267) 619-7778
TEMPLE PHYSICIANS INC.
Family Medicine
7131 RISING SUN AVE
PHILADELPHIA, PA 19111
Philadelphia County (215) 342-7100
RISING SUN FAMILY PRACTICE CENTER, INC.
Family Medicine
7131 RISING SUN AVE
PHILADEPHIA, PA 19111
Philadelphia County (215) 742-9700

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 Sudha Patnaik's NPI number?

The NPI number for Sudha Patnaik is 1679509855. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Sudha Patnaik located?

Sudha Patnaik practices at 7131 Rising Sun Ave, Philadelphia, PA 19111. The listed phone number is (215) 821-2305.

What is Sudha Patnaik's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sudha Patnaik enrolled in Medicare?

Yes. Sudha Patnaik 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 organization bills Medicare for Sudha Patnaik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudha Patnaik reassigns Medicare benefits to Excel Medical Center (Philadelphia, PA). The 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 Sudha Patnaik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sudha Patnaik was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.