Sowmya Sanapala
NPI 1962906511 · Emergency Medicine Physician · Bronx, NY
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sowmya Sanapala is a Emergency Medicine Physician provider in Bronx, NY (NPI 1962906511).
Provider details
- NPI number
- 1962906511
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
196 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 | 117 | $190 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 64 | $132 |
| Critical Care, First 30-74 Minutes99291 | 15 | $232 |
Typical Medicare-allowed amounts for these services range $132–$232 (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
Registry dates
- Enumerated
- 2018-03-20
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Frequently asked questions
- What is Sowmya Sanapala's NPI number?
- Sowmya Sanapala's National Provider Identifier (NPI) is 1962906511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sowmya Sanapala's specialty?
- Sowmya Sanapala is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sowmya Sanapala located?
- Sowmya Sanapala's practice location on file with NPPES is 1400 Pelham Pkwy S Bldg 6, Bronx, NY 10461-1119.
- What is Sowmya Sanapala's phone number?
- The practice phone number listed in the NPPES registry for Sowmya Sanapala is (718) 918-5820.
- Does Sowmya Sanapala accept Medicare?
- Sowmya Sanapala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sowmya Sanapala's NPI active?
- Yes — Sowmya Sanapala's NPI (1962906511) is active in the NPPES registry as of the last update on 2022-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.