Individual provider Active NPI

Sameera Mokkarala

  • Complex Family Planning Physician
  • Philadelphia, PA
National Provider Identifier
1861845604
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Complex Family Planning PhysicianTaxonomy code 207VC0300X
License
MD486254 Issued in PA
Practice address
1144 Locust St
Philadelphia, PA 19107-6734
Phone
(556) 021-5351
NPI assigned
Jul 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Complex Family Planning Physician 207VC0300X MD486254 PA Primary

Addresses

Primary practice location

1144 Locust St
Philadelphia, PA 19107-6734

Mailing address

768 S 19TH St
Philadelphia, PA 19146-1843
Phone (650) 793-4113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD486254PAMDComplex Family Planning Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Southeastern Pennsylvania Past Accepting new patients

Organizations & group practices 1

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": "1468713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1861845604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 S 19TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461843",
            "telephone_number": "650-793-4113",
            "fax_number": "267-536-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076734",
            "telephone_number": "556-021-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKKARALA",
        "first_name": "SAMEERA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-17",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VC0300X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Complex Family Planning",
            "state": "PA",
            "license": "MD486254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.