SOUMYA BOLLAMPALLY (DO) – Geriatric Medicine (Internal Medicine) Physician, NPI 1205156445
Geriatric Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SOUMYA BOLLAMPALLY (DO)
3615 CHESTNUT ST
PHILADELPHIA, PA 191042612
Phone: (215) 662-2746
Fax: (215) 349-5648
Type: Mailing
3615 Chestnut St
Philadelphia, PA 191042612
Phone: (215) 662-2746
Fax: (215) 349-5648
Type: Location
200 BOWMAN DR STE E385 BACK
VOORHEES, NJ 080439638
Phone: (856) 840-4534
Fax: (856) 762-2853
Type: Location
301 LIPPINCOTT DR STE 410
MARLTON, NJ 080534197
Phone: (856) 355-0340
Fax: (856) 355-0330
Type: Mailing
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: 2019-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150828000829 | I | Geriatric Medicine | PA | TBD |
| I20191106003050 | I | Internal Medicine | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 700 | 178 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 527 | 133 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 227 | 189 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 71 | 67 | $0 |
Insurance plans in this area (ZIP 19104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | NJ | |
| - | NJ |
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