Sudha R Patnaik, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD038790L Issued in PA

Practice address

7131 Rising Sun Ave
Philadelphia, PA 19111-3924

Phone

(215) 821-2305

Fax

(215) 220-2600

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excel Medical CenterGroup PAC ID 7315132537, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.2 of 100Reported as group

Quality

70

Promoting interoperability

93

Improvement activities

20

Cost

88.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sudha.patnaik.1@25233.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25233/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Excel Medical Center

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1942521810
  Medicare reassignment Care Compare group NPD
• Philadelphia Hospital Associations

  • Clinic/Center
  • Philadelphia, PA
  • NPI 1881726164
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1679509855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 STENTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191503710",
            "telephone_number": "267-335-5273",
            "fax_number": "267-335-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 RISING SUN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113924",
            "telephone_number": "215-821-2305",
            "fax_number": "215-220-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191043414",
            "country_code": "US",
            "telephone_number": "215-386-3556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7515 Stenton Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191503710",
            "country_code": "US",
            "telephone_number": "267-335-5273",
            "fax_number": "267-335-5273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATNAIK",
        "first_name": "SUDHA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD038790L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiv Patil, MS
• Nicole A Patino, MD
• Luigi V. Patitucci, CRNA
• Mitali Patnaik, M.D.
• Ramprasad Patnaik, M.D.
• Afrodite Patounas
• Kirstin Maria Patragnoni-Sauter, NURSE PRACTITIONER
• Aleksandra Patralska, MD
• Carmen Patrascu, MD
• Patrice Ierardi DMD LLC

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.