SHEILA SANTHAPPA M.D.
NPI 1013116730
Psychiatry & Neurology - Neurology in New Britain, CT

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
100 GRAND ST, NEW BRITAIN, CT 06052(608) 224-5305 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2022, Jul 22, 2019 (2 updates tracked since 2019).

About Sheila Santhappa M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEILA SANTHAPPA M.D. (NPI 1013116730) is an individual neurology provider in New Britain, Connecticut, licensed in Connecticut (63748) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Norwich, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1013116730
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameSHEILA SANTHAPPACredential: M.D.
Location Address100 GRAND STNew Britain, CT 06052-2016
Mailing Address1290 Silas Deane Highway, Hartford Healthcare Cvo Provider EnrollmentWethersfield, CT 06109-4337 · (860) 972-9047
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 12, 2007
Last NPPES UpdateMay 17, 20222 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
NPI 1013116730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in CT · 63748 Licensed in WA · MD60342170 Licensed in FL · ME117068
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

100 GRAND ST, New Britain, CT 06052

Secondary Practice Location 1

Location 1326 Washington StNorwich, CT 06360-2740 · Phone (860) 889-8331

Other Identifiers 5

Medicaid009649700FL
Other4947399FL · Aetna
OtherP01224659FL · Railroad Medicare
Other3522839FL · Cigna
Other14RC5FL · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sheila Santhappa M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345485389
PECOS Enrollment IDI20190805002310
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services44 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services31 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Hospitalist
100 GRAND ST
NEW BRITAIN, CT 06052
Pathology (Anatomic Pathology & Clinical Pathology)
100 GRAND ST
NEW BRITAIN, CT 06052
Physician Assistant (Medical)
100 GRAND ST
NEW BRITAIN, CT 06052
Social Worker (Clinical)
100 GRAND ST
NEW BRITAIN, CT 06052
Physician Assistant (Surgical)
100 GRAND ST
NEW BRITAIN, CT 06052
Emergency Medicine
100 GRAND ST
NEW BRITAIN, CT 06052
Radiology (Diagnostic Radiology)
100 GRAND ST
NEW BRITAIN, CT 06052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheila Santhappa's NPI number?

The NPI number for Sheila Santhappa is 1013116730. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Sheila Santhappa located?

Sheila Santhappa practices at 100 Grand St, New Britain, CT 06052. The listed phone number is (608) 224-5305.

What is Sheila Santhappa's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sheila Santhappa enrolled in Medicare?

Yes. Sheila Santhappa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sheila Santhappa accept?

Health plans from PacificSource Health Plans list Sheila Santhappa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheila Santhappa was last updated on May 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.