GREAT HEALTH MEDICAL PA PC
NPI 1750212056
Nurse Practitioner - Primary Care in Philadelphia, PA
About Great Health Medical Pa Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT HEALTH MEDICAL PA PC (NPI 1750212056) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since May 2026. The organization lists Sonika Randev, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Great Health Medical Pa Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Great Health Medical PA PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Great Health Medical PA PC's NPI number?
The NPI number for Great Health Medical PA PC is 1750212056. It was assigned to this organization in the NPPES registry on May 26, 2026.
Where is Great Health Medical PA PC located?
Great Health Medical PA PC is located at 100 S Juniper St Fl 3, Philadelphia, PA 19107. The listed phone number is (718) 470-0288.
What is Great Health Medical PA PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Great Health Medical PA PC enrolled in Medicare?
Yes. Great Health Medical PA PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Great Health Medical PA PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Great Health Medical PA PC, in Nurse Practitioner and Physical Medicine and Rehabilitation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Great Health Medical PA PC was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Great Health Medical Pa Pc · NPI 1750212056
Primary Care organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since May 26, 2026.
## Identity
- **NPI:** 1750212056 (Entity type: Organization)
- **Enumerated:** May 26, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Sonika Randev, MD
## Practice location
- **Address:** 100 S JUNIPER ST FL 3, Philadelphia, PA 19107-1316
- **Phone:** (718) 470-0288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Physical Medicine and Rehabilitation (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750212056) · Data from the CMS NPPES public registry.