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SANDHYA MARADANA
NPI 1154844462
Internal Medicine - Endocrinology, Diabetes & Metabolism in Cheyenne, WY

Active since July 18, 2017PECOS EnrolledAccepts Medicare Assignment
95.39/100
CMS Quality Rating
800 E 20TH ST STE 230, CHEYENNE, WY 82001(307) 996-4770(307) 638-8851 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2024, Jul 8, 2021, Jul 2, 2021 and 2 more (5 updates tracked since 2017).

About Sandhya Maradana NPPES

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

SANDHYA MARADANA (NPI 1154844462) is an individual endocrinology, diabetes & metabolism provider in Cheyenne, Wyoming, licensed in Wyoming (15775A) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Regional West Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1154844462
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSANDHYA MARADANA
Location Address800 E 20TH ST STE 230Cheyenne, WY 82001-3869
Mailing Address55 Lake Ave NWorcester, MA 01655-0002
Phone(307) 996-4770
Fax(307) 638-8851
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 18, 2017
Last NPPES UpdateNovember 11, 20245 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1154844462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in WY · 15775A
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 15775A (WY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
800 E 20TH ST STE 230, Cheyenne, WY 82001
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1123 Summer StWorcester, MA 01608-1216 · Phone (508) 363-6208
Location 21111 E McDowell RdPhoenix, AZ 85006-2612 · Phone (602) 839-5896
Location 355 Lake Ave NWorcester, MA 01655 · Phone (508) 334-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Sandhya Maradana 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 ID1951675339
PECOS Enrollment IDI20230810004398
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.

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.
213 services134 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.
167 services167 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
108 services46 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
96 services58 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin 95249
Continuous monitoring of blood sugar involves a small sensor inserted under the skin. This sensor measures glucose levels in tissue fluid throughout the day and night, providing real-time readings. It aids in managing diabetes effectively.
29 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Regional West Medical Center

Acute Care Hospitals · Scottsbluff, NE
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280061
Location4021 Ave BScottsbluff, NE 69361 · Scott Bluff County
Emergency services Birthing friendly

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number530014
Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County
Emergency services Birthing friendly

Ivinson Memorial Hospital

Acute Care Hospitals · Laramie, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530025
Location255 N 30thLaramie, WY 82072 · Albany County
Emergency services Birthing friendly

Platte County Memorial Hospital

Critical Access Hospitals · Wheatland, WY
OwnershipGovernment - Local
CMS Certification Number531305
Location201 14th StreetWheatland, WY 82201 · Platte County
Emergency services

Community Hospital

Critical Access Hospitals · Torrington, WY
OwnershipVoluntary non-profit - Private
CMS Certification Number531307
Location2000 Campbell DriveTorrington, WY 82240 · Goshen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82001 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

95.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.76
Promoting Interoperability100
Improvement Activities40

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
4 suppliers40 claims40 services$154.05 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

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

CHEYENNE REGIONAL PHYSICIANS GROUP, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
800 E 20TH ST STE 230
CHEYENNE, WY 82001
Laramie County (307) 996-4770

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 Maradana's NPI number?

The NPI number for Sandhya Maradana is 1154844462. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Where is Sandhya Maradana located?

Sandhya Maradana practices at 800 E 20th St Ste 230, Cheyenne, WY 82001. The listed phone number is (307) 996-4770.

What is Sandhya Maradana's specialty?

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

Is Sandhya Maradana enrolled in Medicare?

Yes. Sandhya Maradana 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 Sandhya Maradana accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross Blue Shield of Wyoming and 2 other insurers list Sandhya Maradana 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 Sandhya Maradana affiliated with any hospitals?

According to CMS data, Sandhya Maradana is affiliated with Regional West Medical Center, Cheyenne Regional Medical Center, Ivinson Memorial Hospital, Platte County Memorial Hospital and Community Hospital.

When was this NPI record last updated?

The NPPES record for Sandhya Maradana was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.