SAROJ SAPKOTA MD
NPI 1073160636
Hospitalist in Columbus, OH

Active since August 19, 2019PECOS EnrolledAccepts Medicare Assignment
520 W 10TH AVE, COLUMBUS, OH 43210(614) 293-7499(614) 366-2360 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 27, 2022, Aug 19, 2019 (2 updates tracked since 2019).

About Saroj Sapkota Md NPPES

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

SAROJ SAPKOTA MD (NPI 1073160636) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (35.155540) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1073160636
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSAROJ SAPKOTACredential: MD
Location Address520 W 10TH AVEColumbus, OH 43210-1328
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7499 · Fax (614) 366-2360
Fax(614) 366-2360
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 19, 2019
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1073160636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in OH · 35.155540 Licensed in PA · MD477795
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

520 W 10TH AVE, Columbus, OH 43210

Secondary Practice Location 1

Location 11800 Mulberry StScranton, PA 18510-2369 · Phone (570) 703-7351 · Fax (570) 703-7801

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

Saroj Sapkota 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 ID2567843972
PECOS Enrollment IDI20220718000173
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.
345 services145 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.
110 services63 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.
102 services100 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
82 services81 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Emergency Medicine
520 W 10TH AVE
COLUMBUS, OH 43210
Registered Nurse
520 W 10TH AVE
COLUMBUS, OH 43210
Registered Nurse (Case Management)
520 W 10TH AVE
COLUMBUS, OH 43210
Internal Medicine (Pulmonary Disease)
520 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
520 W 10TH AVE
COLUMBUS, OH 43210
Anesthesiology
520 W 10TH AVE
COLUMBUS, OH 43210
Emergency Medicine
520 W 10TH AVE
COLUMBUS, OH 43210
Hospitalist
520 W 10TH AVE
COLUMBUS, OH 43210

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 Saroj Sapkota's NPI number?

The NPI number for Saroj Sapkota is 1073160636. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Saroj Sapkota located?

Saroj Sapkota practices at 520 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-7499.

What is Saroj Sapkota's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Saroj Sapkota enrolled in Medicare?

Yes. Saroj Sapkota 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 Saroj Sapkota accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Saroj Sapkota 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 Saroj Sapkota affiliated with any hospitals?

According to CMS data, Saroj Sapkota is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Saroj Sapkota was last updated on June 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.