Prathap Sooriyakumaran, MD
NPI 1255607511 · Emergency Medicine Physician · San Francisco, CA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prathap Sooriyakumaran, MD is a Emergency Medicine Physician provider in San Francisco, CA (NPI 1255607511).
Provider details
- NPI number
- 1255607511
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A127917 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
62 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 45 | $186 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 17 | $129 |
Typical Medicare-allowed amounts for these services range $129–$186 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 3801 Miranda AvePalo Alto, CA 94304-1207Phone: (650) 849-0221
Registry dates
- Enumerated
- 2012-03-30
- Last updated
- 2022-02-11
Frequently asked questions
- What is Prathap Sooriyakumaran's NPI number?
- Prathap Sooriyakumaran's National Provider Identifier (NPI) is 1255607511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Prathap Sooriyakumaran's specialty?
- Prathap Sooriyakumaran is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Prathap Sooriyakumaran located?
- Prathap Sooriyakumaran's practice location on file with NPPES is 1001 Potrero Ave, San Francisco, CA 94110.
- What is Prathap Sooriyakumaran's phone number?
- The practice phone number listed in the NPPES registry for Prathap Sooriyakumaran is (415) 206-8000.
- Does Prathap Sooriyakumaran accept Medicare?
- Prathap Sooriyakumaran is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Prathap Sooriyakumaran's NPI active?
- Yes — Prathap Sooriyakumaran's NPI (1255607511) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.