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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEERAJ SINHA MD
NPI 1891745543
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
1101 CHESTNUT ST FL 17, PHILADELPHIA, PA 19107(215) 955-1671 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018 (2 updates tracked since 2018).

About Neeraj Sinha Md NPPES

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

NEERAJ SINHA MD (NPI 1891745543) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD483197) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1891745543
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameNEERAJ SINHACredential: MD
Location Address1101 CHESTNUT ST FL 17Philadelphia, PA 19107-3612
Mailing Address834 Walnut StPhiladelphia, PA 19107-5109 · (215) 955-1671
Phone(215) 955-1671
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 11, 2006
Last NPPES UpdateJune 28, 20262 updates tracked since enumeration
NPPES CertifiedJune 28, 2026
✔ NPI 1891745543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PA · MD483197
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1101 CHESTNUT ST FL 17, Philadelphia, PA 19107
Open in Google Maps ↗

Other Identifiers 5

Medicaid324112701TX
Medicaid324112702TX
Other8DR978TX · Blue Cross Blue Shield
Medicaid3327078TN
OtherP01206784TX · Medicare Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Neeraj Sinha 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 ID8325099856
PECOS Enrollment IDI20240307001904
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
99 services36 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
37 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 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.
19 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th 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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers22 claims22 services$916.35 avg. paid by Medicare
Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier14 claims420 services$1.65 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier38 claims7,230 services$1.22 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers142 claims10,905 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers85 claims14,950 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier71 claims12,374 services$0.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

DR. DAMARIS ELIXANDRA PENA EVERTZ M.D.
Internal Medicine (Pulmonary Disease)
1101 CHESTNUT ST FL 17
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5161
ASHLEY GWEN SAMMARITANO
Nurse Practitioner (Family)
1101 CHESTNUT ST FL 17
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5161
VANI LAKSHMI MULKAREDDY MD
Internal Medicine (Pulmonary Disease)
1101 CHESTNUT ST FL 17
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5161
DR. DAVID F LAROSA MD
Allergy & Immunology
1101 CHESTNUT ST FL 17
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-7410

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 Neeraj Sinha's NPI number?

The NPI number for Neeraj Sinha is 1891745543. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Neeraj Sinha located?

Neeraj Sinha practices at 1101 Chestnut St Fl 17, Philadelphia, PA 19107. The listed phone number is (215) 955-1671.

What is Neeraj Sinha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Neeraj Sinha enrolled in Medicare?

Yes. Neeraj Sinha 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 Neeraj Sinha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Neeraj Sinha 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 Neeraj Sinha affiliated with any hospitals?

According to CMS data, Neeraj Sinha is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Neeraj Sinha was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.