NAVEEN NISCHALL SOOKNANAN MD
NPI 1972164754
Internal Medicine - Cardiovascular Disease in Philadelphia, PA
About Naveen Nischall Sooknanan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAVEEN NISCHALL SOOKNANAN MD (NPI 1972164754) is an individual cardiovascular disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD486610) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Naveen Nischall Sooknanan 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.
Medicare Billing Reassignment
Medicare enrollment records show Naveen Sooknanan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,205 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Albert Einstein Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
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 Naveen Sooknanan's NPI number?
The NPI number for Naveen Sooknanan is 1972164754. It was assigned to this individual provider in the NPPES registry on June 24, 2019.
Where is Naveen Sooknanan located?
Naveen Sooknanan practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-3930.
What is Naveen Sooknanan's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Naveen Sooknanan enrolled in Medicare?
Yes. Naveen Sooknanan 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.
Which organization bills Medicare for Naveen Sooknanan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Naveen Sooknanan reassigns Medicare benefits to Einstein Practice Plan Inc (Philadelphia, PA). The 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 Naveen Sooknanan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Naveen Sooknanan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Naveen Sooknanan 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 Naveen Sooknanan affiliated with any hospitals?
According to CMS data, Naveen Sooknanan is affiliated with Albert Einstein Medical Center.
When was this NPI record last updated?
The NPPES record for Naveen Sooknanan was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.
# Naveen Nischall Sooknanan, MD · NPI 1972164754
Cardiovascular Disease physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 24, 2019.
## Identity
- **NPI:** 1972164754 (Entity type: Individual)
- **Enumerated:** June 24, 2019
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** MD486610 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 OLD YORK RD, Philadelphia, PA 19141-3018
- **Phone:** (215) 456-3930
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Einstein Practice Plan Inc (NPI 1396703955, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Liberty Univ College Of Osteopathic Medicine, class of 2018
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1972164754) · Data from the CMS NPPES public registry.