Sonya Purushothaman, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

2019-00152 Issued in NC

Practice address

2693 Forest Hills Rd SW Ste B
Wilson, NC 27893-8611

Phone

(252) 234-2841

NPI assigned

Apr 14, 2014

Last updated

Jul 20, 2020By the provider in NPPES

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 NC, TX2 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

Specialty

Pathology

Education

Brody School of Medicine at East Carolina University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Pathology Group PAGroup PAC ID 0547277246, 10 clinicians

Gastroenterology East PAGroup PAC ID 4880799485, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johnston Health Hospital, Smithfield, NC, CCN 340090

Merit-based Incentive Payment System (MIPS)

Final score

90.24 of 100Reported as group

Quality

91.31

Improvement activities

40

Cost

79.05

Merit-based Incentive Payment System (MIPS)

Final score

90.32 of 100Reported as group

Quality

97.02

Promoting interoperability

100

Improvement activities

40

Cost

70.72

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spurushothaman20575@carolinaeastmc.direct-ci.com

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

• Atlantic Pathology Group, PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Rocky Mount, NC
  • NPI 1356301725
  Medicare reassignment Care Compare group NPD
• Gastroenterology East PA

  • Gastroenterology Physician
  • Greenville, NC
  • NPI 1053406298
  Medicare reassignment Care Compare group
• App-Ecp, LLC

  dba Eastern Carolina Pathology

  • Clinical Medical Laboratory
  • Wilson, NC
  • NPI 1578708368
  Medicare reassignment NPD
• Carolina Digestive Diseases, PA

  • Gastroenterology Physician
  • Greenville, NC
  • NPI 1447339767
  Medicare reassignment NPD
• Center for Digestive Diseases and Cary Endoscopy Center, PC

  • Gastroenterology Physician
  • Cary, NC
  • NPI 1326001819
  Medicare reassignment NPD
• Raleigh Medical Group, PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1104962315
  Medicare reassignment NPD
• Path Alliance Inc

  dba Coastal Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Carrollton, TX
  • NPI 1518160092
  Medicare reassignment NPD
• Carolina Digestive Diseases, PA

  • Ambulatory Surgical Clinic/Center
  • Greenville, NC
  • NPI 1023257300
  NPD
• Permian Gastroenterology, P.a.

  • Gastroenterology Physician
  • Midland, TX
  • NPI 1477652964
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Johnston Health Services Corporation

  dba Johnston Health

  • General Acute Care Hospital
  • Smithfield, NC
  • NPI 1619911104
  Care Compare affiliation

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1932528346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 FOREST HILLS RD SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938611",
            "telephone_number": "252-234-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 FOREST HILLS RD SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938611",
            "telephone_number": "252-234-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURUSHOTHAMAN",
        "first_name": "SONYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-14",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2019-00152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.