Individual provider Active NPI

Sosa Varghese Kocheril, MBBS

  • Rheumatology Physician
  • Pittsburgh, PA
National Provider Identifier
1760567374
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
4301070471 Issued in MI
Practice address
3601 5TH Ave Ste 5B
Pittsburgh, PA 15213-3403
Phone
(412) 647-6700
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301070471 MI
Rheumatology Physician 207RR0500X 4301070471 MI Primary

Addresses

Primary practice location

3601 5TH Ave Ste 5B
Pittsburgh, PA 15213-3403

Mailing address

3601 5TH Ave Ste 5B
Pittsburgh, PA 15213-3403
Phone (412) 647-6700

Other identifiers 1

IdentifierTypeStateIssuer
4764532MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050926001091 MI Practitioner - RheumatologyPractitioner - Internal Medicine 3870527070 Reassigns benefits to 1 organization
I20210920002941 PA Practitioner - RheumatologyPractitioner - Internal Medicine 3870527070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301070471MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Sep 1, 2021 Accepting new patients
Regents of the University of Michigan Internal Medicine Current Accepting new patients
Regents of the University of Michigan Internal Medicine CurrentSince Jul 1, 2005 Accepting new patients
University of Pittsburgh Physicians Rheumatology CurrentSince Sep 1, 2021 Accepting new patients
Regents of the University of Michigan CurrentSince Jul 1, 2005 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

8001 Challis Rd
Brighton, MI 48116
Phone (810) 227-9510

7500 Challis Rd
Fl 2
Brighton, MI 48116
Phone (734) 647-5940

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3601 5th Ave
Ste 5B
Pittsburgh, PA 15213
Phone (412) 647-1069

3471 5th Ave
Ste 900
Pittsburgh, PA 15213
Phone (412) 647-1463

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1760567374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 5TH AVE STE 5B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133403",
            "telephone_number": "412-647-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 5TH AVE STE 5B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133403",
            "telephone_number": "412-647-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHERIL",
        "first_name": "SOSA",
        "middle_name": "VARGHESE",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301070471",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MI",
            "license": "4301070471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4764532",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.