DR. SONYA PURUSHOTHAMAN M.D.
NPI 1932528346
Pathology - Anatomic Pathology & Clinical Pathology in Wilson, NC

Q: What is Sonya Purushothaman's NPI number?

The NPI number for Sonya Purushothaman is 1932528346. It was assigned to this individual provider in the NPPES registry on April 14, 2014.

Q: What is Sonya Purushothaman's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since April 14, 2014PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

2693 FOREST HILLS RD SW STE B, WILSON, NC 27893(252) 234-2841 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2020, Jan 22, 2020 (2 updates tracked since 2020).

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About Dr. Sonya Purushothaman M.d. NPPES

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

DR. SONYA PURUSHOTHAMAN M.D. (NPI 1932528346) is an individual anatomic pathology & clinical pathology provider in Wilson, North Carolina, licensed in North Carolina (2019-00152) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Johnston Health, and is a graduate of Brody School Of Medicine At East Carolina University (2014).

NPPES Registry Identity

NPI1932528346

Entity TypeIndividualFemale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. SONYA PURUSHOTHAMANCredential: M.D.

Location Address2693 FOREST HILLS RD SW STE BWilson, NC 27893-8611

Mailing Address2693 Forest Hills Rd Sw Ste BWilson, NC 27893-8611 · (252) 234-2841

Phone(252) 234-2841

Sole ProprietorNo

Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2014

Enumeration DateApril 14, 2014

Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration

NPPES CertifiedJuly 20, 2020

✔ NPI 1932528346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in NC · 2019-00152

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

2693 FOREST HILLS RD SW STE B, Wilson, NC 27893

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

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

Dr. Sonya Purushothaman 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 ID547519142

PECOS Enrollment IDI20200727003114

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 Reassignments

Medicare enrollment records show Sonya Purushothaman reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

App-Ecp, LLC

1.6 mi

Clinical Medical Laboratory

2693 FOREST HILLS RD SW, SUITE B
Wilson, NC 27893

Reassigned Medicare billing, North Carolina enrollment
7 clinicians in this Medicare group

NPI 1578708368 (252) 234-2841

Atlantic Pathology Group, PA

19 mi

Anatomic Pathology & Clinical Pathology

2460 CURTIS ELLIS DR
Rocky Mount, NC 27804

Reassigned Medicare billing, North Carolina enrollment
11 clinicians in this Medicare group

NPI 1356301725 (252) 433-8043

Gastroenterology East PA

32 mi

Gastroenterology

2210 HEMBY LN
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
12 clinicians in this Medicare group

NPI 1053406298 (252) 551-3000

Carolina Digestive Diseases, PA

33 mi

Gastroenterology

704 WH SMITH BLVD
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
9 clinicians in this Medicare group

NPI 1447339767 (252) 758-8181

Raleigh Medical Group, PA

39 mi

Internal Medicine

3700 BARRETT DR STE 300
Raleigh, NC 27609

Reassigned Medicare billing, North Carolina enrollment
109 clinicians in this Medicare group

NPI 1104962315 (919) 782-1806

Center For Digestive Diseases And Cary Endoscopy Center, PC

46 mi

Gastroenterology

1120 SE CARY PKWY, SUITE 204
Cary, NC 27518

Reassigned Medicare billing, North Carolina enrollment
7 clinicians in this Medicare group

NPI 1326001819 (919) 854-0041

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 15

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

758 services397 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

305 services72 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

195 services149 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

139 services30 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

117 services27 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

104 services76 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

86 services75 patients

Microscopic genetic analysis of tumor, using computer-assisted technology 88361

Microscopic genetic analysis of a tumor uses advanced computer technology to examine the genetic makeup of the tumor cells. This helps to understand the tumor better and tailor a treatment plan. It's a non-invasive procedure and provides valuable insights for your healthcare team.

62 services21 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

38 services26 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

32 services22 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

27 services27 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

26 services13 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

21 services15 patients

Special stained specimen slides to examine tissue, initial procedure 88342

19 services18 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Johnston Health

Acute Care Hospitals · Smithfield, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340090

Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27893 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES 6

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

APP-ECP, LLC

Clinical Medical Laboratory