SOHINI GHOSH M.D.
NPI 1942592555
Internal Medicine - Pulmonary Disease in Pittsburgh, PA

Active since May 15, 2011PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
320 E NORTH AVE, PITTSBURGH, PA 15212(412) 359-6656(412) 359-6653 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2020, Dec 24, 2019, May 12, 2016 (3 updates tracked since 2016).

About Sohini Ghosh M.d. NPPES

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

SOHINI GHOSH M.D. (NPI 1942592555) is an individual pulmonary disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD468740) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (2011).

NPPES Registry Identity

NPI1942592555
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameSOHINI GHOSHCredential: M.D.
Location Address320 E NORTH AVEPittsburgh, PA 15212-4756
Mailing Address320 E North AvePittsburgh, PA 15212-4756 · (412) 359-6656 · Fax (412) 359-6653
Fax(412) 359-6653
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2011
Enumeration DateMay 15, 2011
Last NPPES UpdateOctober 12, 20203 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
NPI 1942592555 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 · MD468740
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.
320 E NORTH AVE, Pittsburgh, PA 15212

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

Sohini Ghosh 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 ID6901197953
PECOS Enrollment IDI20251008000875
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 12

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.
44 services41 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.
44 services38 patients
Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654
This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.
26 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services16 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
26 services12 patients

Hospital Affiliations CMS Care Compare

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

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$4.70 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$85.05 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 20

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

Radiology (Diagnostic Radiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Emergency Medicine
320 E NORTH AVE, EMERGENCY MEDICINE RESIDENCY OFFICE
PITTSBURGH, PA 15212
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Emergency Medicine (Medical Toxicology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212

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 Sohini Ghosh's NPI number?

The NPI number for Sohini Ghosh is 1942592555. It was assigned to this individual provider in the NPPES registry on May 15, 2011.

Where is Sohini Ghosh located?

Sohini Ghosh practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-6656.

What is Sohini Ghosh's specialty?

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

Is Sohini Ghosh enrolled in Medicare?

Yes. Sohini Ghosh 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.

Is Sohini Ghosh affiliated with any hospitals?

According to CMS data, Sohini Ghosh is affiliated with Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Sohini Ghosh was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.