Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SANJAY KEVIN ANANDARAM MD
NPI 1013262153
Psychiatry & Neurology - Neurology in Rochester, NY

Active since July 15, 2012PECOS Enrolled
95.19/100
CMS Quality Rating
1415 PORTLAND AVE STE 445, ROCHESTER, NY 14621(585) 922-4371(585) 922-7485 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2026, May 29, 2026, Nov 14, 2025 and 4 more (7 updates tracked since 2017).

About Sanjay Kevin Anandaram Md NPPES

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

SANJAY KEVIN ANANDARAM MD (NPI 1013262153) is an individual neurology provider in Rochester, New York, licensed in New York (288595) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1013262153
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSANJAY KEVIN ANANDARAMCredential: MD
Location Address1415 PORTLAND AVE STE 445Rochester, NY 14621-3022
Mailing Address1415 Portland Ave Ste 445Rochester, NY 14621-3022 · (585) 922-4371 · Fax (585) 922-7485
Fax(585) 922-7485
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 15, 2012
Last NPPES UpdateJuly 22, 20267 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1013262153 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 NY · 288595 Licensed in NC · 2025-02751 Licensed in NJ · 25MA12759700 Licensed in GA · 109382 Licensed in OR · MD227340 Licensed in WA · MD70027315
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.

1415 PORTLAND AVE STE 445, Rochester, NY 14621

Secondary Practice Locations 8

Location 155 Meadowlands PkwySecaucus, NJ 07094-2977 · Phone (551) 277-4441
Location 2211 Essex St Ste 104Hackensack, NJ 07601-3244 · Phone (551) 277-4441
Location 32801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 413-2200 · Fax (503) 413-2756
Location 42211 NE 139th StVancouver, WA 98686-2742 · Phone (360) 487-1000 · Fax (360) 487-1199
Location 5342 Fairview StSilverton, OR 97381-1917 · Phone (503) 873-1500 · Fax (503) 873-1534
Location 61000 Johnson Ferry RdAtlanta, GA 30342-1606 · Phone (404) 851-8000 · Fax (404) 303-3759
Location 710905 Providence Rd W Ste G200Charlotte, NC 28277-1538 · Phone (980) 488-4900 · Fax (980) 488-4905
Location 8111 Hospital DrTarboro, NC 27886-2011 · Phone (252) 641-7700

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

Sanjay Kevin Anandaram Md 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 ID1850698937
PECOS Enrollment IDI20170706000926, I20250925003230, I20251219001098
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.

Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
58 services57 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.
44 services44 patients
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.
41 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services18 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Newark-Wayne Community Hospital

Acute Care Hospitals · Newark, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330030
Location111 Driving Park AvenueNewark, NY 14513 · Wayne County
Emergency services Birthing friendly

United Memorial Medical Center

Acute Care Hospitals · Batavia, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330073
Location127 North StreetBatavia, NY 14020 · Genesee County
Emergency services Birthing friendly

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14621 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Physician Assistant (Medical)
1415 PORTLAND AVE STE 445
ROCHESTER, NY 14621
Nurse Practitioner (Family)
1415 PORTLAND AVE STE 445
ROCHESTER, NY 14621
Pharmacist
1415 PORTLAND AVE STE 445
ROCHESTER, NY 14621
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1415 PORTLAND AVE STE 445
ROCHESTER, NY 14621
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE STE 445
ROCHESTER, NY 14621
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1415 PORTLAND AVE STE 445
ROCHESTER, NY 14621
Genetic Counselor, MS
1415 PORTLAND AVE STE 445
ROCHESTER, NY 14621
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1415 PORTLAND AVE STE 445
ROCHESTER, NY 14621

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 Sanjay Anandaram's NPI number?

The NPI number for Sanjay Anandaram is 1013262153. It was assigned to this individual provider in the NPPES registry on July 15, 2012.

Where is Sanjay Anandaram located?

Sanjay Anandaram practices at 1415 Portland Ave Ste 445, Rochester, NY 14621. The listed phone number is (585) 922-4371.

What is Sanjay Anandaram's specialty?

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

Is Sanjay Anandaram enrolled in Medicare?

Yes. Sanjay Anandaram 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 Sanjay Anandaram accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sanjay Anandaram 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.

Is Sanjay Anandaram affiliated with any hospitals?

According to CMS data, Sanjay Anandaram is affiliated with Northside Hospital Cherokee, Northside Hospital Gwinnett, Newark-Wayne Community Hospital, United Memorial Medical Center and Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Anandaram was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.