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SANDEEP MAHAL MD
NPI 1053939173
Family Medicine in Johnstown, PA

Active since July 07, 2020PECOS EnrolledAccepts Medicare Assignment
91.27/100
CMS Quality Rating
1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9364 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sandeep Mahal Md NPPES

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

SANDEEP MAHAL MD (NPI 1053939173) is an individual family medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MT221705) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Olean General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053939173
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSANDEEP MAHALCredential: MD
Location Address1086 FRANKLIN STJohnstown, PA 15905-4305
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 534-9364 · Fax (814) 534-5599
Phone(814) 534-9364
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
✔ NPI 1053939173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MT221705
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1086 FRANKLIN ST, Johnstown, PA 15905
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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

Sandeep Mahal 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 ID8426473059
PECOS Enrollment IDI20230901000506
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 2

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.

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.
105 services105 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.
21 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Olean General Hospital

Acute Care Hospitals · Olean, NY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number330103
Location515 Main StreetOlean, NY 14760 · Cattaraugus County
Emergency services Birthing friendly

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

91.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Improvement Activities40
Cost85.96

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.

MEMORIAL MEDICAL CENTER
General Acute Care Hospital (Children)
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9503
JOSEPH W HENSLEY DO
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-3745
NICOLE DOLHI DO
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-3745
BRADLEY STEPHEN WINEGARDNER
Surgery
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-1660
SAI HARSHA BOBBA MD
Family Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9364
AYESHA HAQ MD
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9408
CHRISTINA DAVIS PA-C
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Cambria County (814) 534-5592
MRS. JAMIE ELIZABETH OKOPAL RN, CRNA
Nurse Anesthetist, Certified Registered
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Cambria County (814) 534-9321

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 Sandeep Mahal's NPI number?

The NPI number for Sandeep Mahal is 1053939173. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Where is Sandeep Mahal located?

Sandeep Mahal practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9364.

What is Sandeep Mahal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandeep Mahal enrolled in Medicare?

Yes. Sandeep Mahal 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.

Is Sandeep Mahal affiliated with any hospitals?

According to CMS data, Sandeep Mahal is affiliated with Olean General Hospital and Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for Sandeep Mahal was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.