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SRINIVAS SUNKARA M.D.
NPI 1851704415
Internal Medicine - Hematology in Philadelphia, PA

Active since June 10, 2014PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
230 N BROAD ST, PHILADELPHIA, PA 19102(215) 762-7000 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Srinivas Sunkara M.d. NPPES

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

SRINIVAS SUNKARA M.D. (NPI 1851704415) is an individual hematology provider in Philadelphia, Pennsylvania, licensed in Georgia (89468) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851704415
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameSRINIVAS SUNKARACredential: M.D.
Location Address230 N BROAD STPhiladelphia, PA 19102-1121
Mailing Address230 N Broad StPhiladelphia, PA 19102-1121 · (215) 762-7000
Phone(215) 762-7000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 10, 2014
Last NPPES UpdateJanuary 25, 2022
NPPES CertifiedJanuary 25, 2022
✔ NPI 1851704415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in GA · 89468
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT207422 (PA)
230 N BROAD ST, Philadelphia, PA 19102
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Srinivas Sunkara 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 ID4688968936
PECOS Enrollment IDI20211213002703
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 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 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.
135 services76 patients
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.
133 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Saint Joseph's Hospital Of Atlanta, Inc

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110082
Location5665 Peachtree Dunwoody RoadAtlanta, GA 30342 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
61%83 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

RIAN JOHN PILLITTERI M.D.
Emergency Medicine
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7963
BRITNY ROGALA PHARMD
Pharmacist
230 N BROAD ST, B40
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-1101
MELISSA BRODSKY MD
Anesthesiology
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7922
COLLEEN PATRICIA NOFI DO
Surgery
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7000
ANDREW S WECHSLER MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
230 N BROAD ST, 744 N TOWER
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7802
DR. JOHN RODNEY CLARKE M.D.
Surgery
230 N BROAD ST, HAHNEMANN UNIVERSITY HOSPITAL, MAIL STOP 993
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-2010
LINDSEY CARLISLE WILLIAMS D.O.
Radiology (Diagnostic Radiology)
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-7000
ELIZABETH MARY VARUGHESE MD
Internal Medicine
230 N BROAD ST
PHILADELPHIA, PA 19102
Philadelphia County (215) 762-6900

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 Srinivas Sunkara's NPI number?

The NPI number for Srinivas Sunkara is 1851704415. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Where is Srinivas Sunkara located?

Srinivas Sunkara practices at 230 N Broad St, Philadelphia, PA 19102. The listed phone number is (215) 762-7000.

What is Srinivas Sunkara's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Srinivas Sunkara enrolled in Medicare?

Yes. Srinivas Sunkara 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.

What insurance does Srinivas Sunkara accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Srinivas Sunkara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Srinivas Sunkara affiliated with any hospitals?

According to CMS data, Srinivas Sunkara is affiliated with Emory University Hospital, Emory Decatur Hospital and Saint Joseph's Hospital Of Atlanta, Inc.

When was this NPI record last updated?

The NPPES record for Srinivas Sunkara was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.