DR. SANDHYA VENKATARAMAN D.O
NPI 1154778082
Internal Medicine - Endocrinology, Diabetes & Metabolism in Pittsburgh, PA

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
9104 BABCOCK BLVD STE 1106, PITTSBURGH, PA 15237(412) 586-9700 Get Directions Write a Review

NPPES record last updated: September 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2021, Jun 4, 2019, May 21, 2016 (3 updates tracked since 2016).

About Dr. Sandhya Venkataraman D.o NPPES

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

DR. SANDHYA VENKATARAMAN D.O (NPI 1154778082) is an individual endocrinology, diabetes & metabolism provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (1154778082) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Rowan University School Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1154778082
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SANDHYA VENKATARAMANCredential: D.O
Location Address9104 BABCOCK BLVD STE 1106Pittsburgh, PA 15237-5818
Mailing Address1243 S Cedar Crest BlvdAllentown, PA 18103-6268 · (610) 402-6790
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2016
Enumeration DateMay 20, 2016
Last NPPES UpdateSeptember 18, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2021
NPI 1154778082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in PA · 1154778082
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License OT017036 (PA)
9104 BABCOCK BLVD STE 1106, Pittsburgh, PA 15237

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. Sandhya Venkataraman D.o 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 ID1052601507
PECOS Enrollment IDI20210913000810
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.

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.
92 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15237 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers40 claims40 services$187.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
9104 BABCOCK BLVD STE 1106
PITTSBURGH, PA 15237
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9104 BABCOCK BLVD STE 1106
PITTSBURGH, PA 15237
Internal Medicine
9104 BABCOCK BLVD STE 1106, SUITE 1106
PITTSBURGH, PA 15237

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 Sandhya Venkataraman's NPI number?

The NPI number for Sandhya Venkataraman is 1154778082. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Sandhya Venkataraman located?

Sandhya Venkataraman practices at 9104 Babcock Blvd Ste 1106, Pittsburgh, PA 15237. The listed phone number is (412) 586-9700.

What is Sandhya Venkataraman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sandhya Venkataraman enrolled in Medicare?

Yes. Sandhya Venkataraman 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 Sandhya Venkataraman affiliated with any hospitals?

According to CMS data, Sandhya Venkataraman is affiliated with Upmc Somerset, Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Sandhya Venkataraman was last updated on September 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.