MR. SANDEEP RAO BHASHYAM M.D.
NPI 1174767420
Internal Medicine in Stony Brook, NY

Active since April 29, 2009PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS ROAD, HSC T16-020, STONY BROOK, NY 11794(631) 444-8478(631) 444-7546 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Sandeep Rao Bhashyam M.d. NPPES

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

MR. SANDEEP RAO BHASHYAM M.D. (NPI 1174767420) is an individual internal medicine provider in Stony Brook, New York, licensed in New York (2348651) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (2009).

NPPES Registry Identity

NPI1174767420
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. SANDEEP RAO BHASHYAMCredential: M.D.
Location Address101 NICOLLS ROAD, HSC T16-020Stony Brook, NY 11794-8160
Mailing AddressStony Brook University Hospital, Medical Staff Office T14Stony Brook, NY 11794-7148 · (631) 444-2754 · Fax (631) 444-6031
Fax(631) 444-7546
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2009
Enumeration DateApril 29, 2009
Last NPPES UpdateOctober 17, 2012
✔ NPI 1174767420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 2348651
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
101 NICOLLS ROAD, Stony Brook, NY 11794

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Sandeep Rao Bhashyam 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 ID3173772167
PECOS Enrollment IDI20241126002527
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sandeep Bhashyam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
110 CONNECTICUT BOULEVARD
East Hartford, CT 06108
  • Reassigned Medicare billing, Connecticut enrollment
  • 75 clinicians in this Medicare group
Foster Care Agency
1045 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 156 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
101 NICOLLS ROAD, HSC T16-020
STONY BROOK, NY 11794
Anesthesiology
101 NICOLLS ROAD, DEPARTMENT OF ANESTHESIOLOGY, HSC LEVEL 4, ROOM 060
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCE CENTER T16, ROOM 020
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Obstetrics & Gynecology
101 NICOLLS ROAD, HSC 9, ROOM 020
MOUNT SINDAI, NY 11794
Anesthesiology
101 NICOLLS ROAD, HSC LEVEL 4 ROOM 60
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, DEPARTMENT OF SURGERY, HSC T-19, 030
STONY BROOK, NY 11794
Student in an Organized Health Care Education/Training Program
101 NICOLLS ROAD, HEALTH SCIENCES CENTER LEVEL 4, ROOM 176
STONY BROOK, NY 11794

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 Bhashyam's NPI number?

The NPI number for Sandeep Bhashyam is 1174767420. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is Sandeep Bhashyam located?

Sandeep Bhashyam practices at 101 Nicolls Road Hsc T16-020, Stony Brook, NY 11794. The listed phone number is (631) 444-8478.

What is Sandeep Bhashyam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandeep Bhashyam enrolled in Medicare?

Yes. Sandeep Bhashyam 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.

Which organizations bill Medicare for Sandeep Bhashyam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Bhashyam reassigns Medicare benefits to 2 organizations: First Choice Health Centers, Inc. (East Hartford, CT) and Liberty Resources Inc. (Syracuse, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandeep Bhashyam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sandeep Bhashyam affiliated with any hospitals?

According to CMS data, Sandeep Bhashyam is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Sandeep Bhashyam was last updated on October 17, 2012. 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.