SUMEET SANDHU M.D.
NPI 1184067381
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Sumeet Sandhu's NPI number?

The NPI number for Sumeet Sandhu is 1184067381. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Q: What is Sumeet Sandhu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Sumeet Sandhu was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 08, 2013PECOS EnrolledAccepts Medicare Assignment

5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-9850(215) 456-9442 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sumeet Sandhu M.d. NPPES

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

SUMEET SANDHU M.D. (NPI 1184067381) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD469863) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1184067381

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameSUMEET SANDHUCredential: M.D.

Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018

Mailing Address5501 Old York RdPhiladelphia, PA 19141-3018 · (215) 456-9850 · Fax (215) 456-9442

Phone(215) 456-9850

Fax(215) 456-9442

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateApril 8, 2013

Last NPPES UpdateJuly 28, 2020

NPPES CertifiedJuly 28, 2020

✔ NPI 1184067381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in PA · MD469863

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5501 OLD YORK RD, Philadelphia, PA 19141

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Secondary Practice Location 1

Location 1500 University Dr, H073Hershey, PA 17033-2360 · Phone (717) 531-0003 ext. 28027 · Fax (717) 531-6491

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Sumeet Sandhu 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 ID2860772068

PECOS Enrollment IDI20200813001150

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 4

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.

977 services67 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

62 services52 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.

38 services37 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

25 services11 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390006

Location100 North Academy AvenueDanville, PA 17822 · Montour County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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.

KENNETH KLECKNER MD

Emergency Medicine

5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-6679

MS. AMMAN HASSAN MD

Pediatrics

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-3810

TAYLOR NICOLE THOMPSON PA-C

Physician Assistant (Medical)

5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141

Philadelphia County (215) 254-2630

STEPHEN RYAN CHEN

Orthopaedic Surgery

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

DR. DHRUV SHARMA MD

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

TIMOTHY DANIEL GARDNER DO

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

DR. JONATHAN THOMAS LUCIANI DO

Student in an Organized Health Care Education/Training Program

5501 OLD YORK RD
PHILADELPHIA, PA 19141

Philadelphia County (215) 456-7890

ASHIKA KAPOOR MD

Psychiatry & Neurology (Psychiatry)

5501 OLD YORK RD
PHILA, PA 19141

Philadelphia County (215) 456-8103

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 Sumeet Sandhu's NPI number?

The NPI number for Sumeet Sandhu is 1184067381. It was assigned to this individual provider in the NPPES registry on April 8, 2013.

Where is Sumeet Sandhu located?

Sumeet Sandhu practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-9850.

What is Sumeet Sandhu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Sumeet Sandhu enrolled in Medicare?

Yes. Sumeet Sandhu 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 Sumeet Sandhu accept?

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

According to CMS data, Sumeet Sandhu is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Sumeet Sandhu was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.