MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C) – Physician Assistant, NPI 1265150890

MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C) is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials MPAS, PA-C. The NPI Number for MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C) is 1265150890

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C)
NPI
1265150890
Phone
(770) 543-8516
Address
4504 W Spruce St Apt 631
Enumeration Date
19 August 2022
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138936000
Graduation Year
2022 (4 years ago)
PAC ID
3375929219
Group Practice PAC ID
4880070556
Professional Enrollment ID
I20220930000531
Address ID
FL336061848TA1307XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness85
Years active:3State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C)

  • 4504 W Spruce St Apt 631

    Tampa, FL 336075895

    Phone: (770) 543-8516

    Type: Location

  • 4504 W SPRUCE ST APT 631

    TAMPA, FL 336075895

    Phone: (770) 543-8516

    Type: Mailing

  • PO BOX 7410884

    CHICAGO, IL 606740884

    Phone: (702) 899-0595

    Fax: (702) 977-1496

    Type: Mailing

  • 13806 N 46TH ST

    TAMPA, FL 336134921

    Phone: (872) 231-3162

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220930000531IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes848172$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes789187$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes223167$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes6158$0
View full utilization report →

Insurance plans in this area (ZIP 33607)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880070556View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantFL
Pain ManagementFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C)'s NPI?
You can confirm MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C) with NPI 1265150890; it appears in the national provider directory.
Is MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C). Clinical services aligned with this taxonomy classification.
What location shows for MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C)?
We surface Tampa, Florida for MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C) based on available NPPES addresses.
How can I contact MISS SOWMYA RADHAKRISHNAN (MPAS, PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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