DR. SHANTANU SINHA M.D.
NPI 1124029426
Internal Medicine - Cardiovascular Disease in Lancaster, OH

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
14.89/100
CMS Quality Rating
618 PLEASANTVILLE RD, STE 101, LANCASTER, OH 43130(740) 653-7511(740) 653-7512 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shantanu Sinha M.d. NPPES

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

DR. SHANTANU SINHA M.D. (NPI 1124029426) is an individual cardiovascular disease provider in Lancaster, Ohio, licensed in Ohio (35082038) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1124029426
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SHANTANU SINHACredential: M.D.
Location Address618 PLEASANTVILLE RD, STE 101Lancaster, OH 43130-3312
Mailing Address618 Pleasantville Rd, Suite 101Lancaster, OH 43130-3312 · (740) 653-7511 · Fax (740) 689-9236
Fax(740) 653-7512
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 9, 2005
Last NPPES UpdateNovember 17, 2011
NPI 1124029426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OH · 35082038
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 35082038 (OH)
618 PLEASANTVILLE RD, Lancaster, OH 43130

Other Identifiers 2

Medicare UPINH19324OH
Medicaid2223187OH

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

Dr. Shantanu Sinha 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 ID2567442965
PECOS Enrollment IDI20040726000335
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 25

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
917 services108 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
808 services507 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
461 services116 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
363 services318 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
325 services163 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
268 services260 patients

Hospital Affiliations CMS Care Compare 3

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

14.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost49.63

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.

Surgery
618 PLEASANTVILLE RD, SUITE 301
LANCASTER, OH 43130
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
618 PLEASANTVILLE RD
LANCASTER, OH 43130
Nurse Practitioner (Family)
618 PLEASANTVILLE RD, STE 101
LANCASTER, OH 43130
Internal Medicine (Pulmonary Disease)
618 PLEASANTVILLE RD, SUITE 303
LANCASTER, OH 43130
Physician Assistant (Surgical)
618 PLEASANTVILLE RD, SUITE 202
LANCASTER, OH 43130
Surgery (Vascular Surgery)
618 PLEASANTVILLE RD, SUITE 302
LANCASTER, OH 43130
Nurse Practitioner
618 PLEASANTVILLE RD, SUITE 101
LANCASTER, OH 43130
Nurse Practitioner
618 PLEASANTVILLE RD, SUITE 303
LANCASTER, OH 43130

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 Shantanu Sinha's NPI number?

The NPI number for Shantanu Sinha is 1124029426. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Shantanu Sinha located?

Shantanu Sinha practices at 618 Pleasantville Rd Ste 101, Lancaster, OH 43130. The listed phone number is (740) 653-7511.

What is Shantanu Sinha's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Shantanu Sinha enrolled in Medicare?

Yes. Shantanu Sinha 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 Shantanu Sinha accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Shantanu Sinha 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 Shantanu Sinha affiliated with any hospitals?

According to CMS data, Shantanu Sinha is affiliated with Genesis Hospital, Fairfield Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Shantanu Sinha was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.