DR. SUSHANTH NAYAK MD
NPI 1710273958
Family Medicine in Philadelphia, PA

Active since June 27, 2011PECOS EnrolledAccepts Medicare Assignment
11000 ROOSEVELT BLVD UNIT 360, PHILADELPHIA, PA 19116(215) 677-1475(215) 677-3082 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 18, 2021, Apr 2, 2021, Jun 4, 2020 (3 updates tracked since 2020).

About Dr. Sushanth Nayak Md NPPES

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

DR. SUSHANTH NAYAK MD (NPI 1710273958) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD473059) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Peacehealth Cottage Grove Community Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1710273958
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SUSHANTH NAYAKCredential: MD
Location Address11000 ROOSEVELT BLVD UNIT 360Philadelphia, PA 19116-3961
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 926-9022 · Fax (215) 226-8286
Fax(215) 677-3082
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 27, 2011
Last NPPES UpdateJune 18, 20213 updates tracked since enumeration
NPPES CertifiedJune 18, 2021
NPI 1710273958 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 · MD473059 Licensed in WA · MD60662834
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.

11000 ROOSEVELT BLVD UNIT 360, Philadelphia, PA 19116

Secondary Practice Locations 2

Location 14800 College St SELacey, WA 98503-4389 · Phone (360) 486-2900 · Fax (360) 486-2901
Location 21620 Cooper Point Rd SWOlympia, WA 98502-5736 · Phone (360) 486-6710 · Fax (360) 705-0614

Accepted Insurance

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. Sushanth 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 ID648412627
PECOS Enrollment IDI20140820002891
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
16 services16 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Peacehealth Cottage Grove Community Medical Center

Critical Access Hospitals · Cottage Grove, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381301
Location1515 Village DriveCottage Grove, OR 97424 · Lane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19116 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.

Other Providers at the Same Location NPPES

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

Physical Therapist
11000 ROOSEVELT BLVD UNIT 360
PHILADELPHIA, PA 19116

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710273958, enumerated as an "individual" on June 27, 2011.

The provider is located at 11000 ROOSEVELT BLVD UNIT 360 PHILADELPHIA, PA 19116 and the phone number is (215) 677-1475.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to verify.

Sushanth Nayak is affiliated with: PEACEHEALTH COTTAGE GROVE COMMUNITY MEDICAL CENTER.