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DR. SAPNA PANDYA D.P.M.
NPI 1194801142
Podiatrist in New York, NY

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
571 ACADEMY ST STE GLE, NEW YORK, NY 10034(646) 991-9000(212) 567-6574 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 19, 2025, Jun 19, 2025 (2 updates tracked since 2025).

About Dr. Sapna Pandya D.p.m. NPPES

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

DR. SAPNA PANDYA D.P.M. (NPI 1194801142) is an individual podiatrist in New York, New York, licensed in New York (N005825) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2000).

NPPES Registry Identity

NPI1194801142
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. SAPNA PANDYACredential: D.P.M.
Location Address571 ACADEMY ST STE GLENew York, NY 10034-5104
Mailing Address666 West End Avenue, Apt.# 12bNew York, NY 10025 · (646) 991-9000 · Fax (212) 362-0346
Phone(646) 991-9000
Fax(212) 567-6574
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 2000
Enumeration DateOctober 31, 2006
Last NPPES UpdateSeptember 22, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1194801142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NY · N005825
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
571 ACADEMY ST STE GLE, New York, NY 10034
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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

Dr. Sapna Pandya D.p.m. 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 ID7618939380
PECOS Enrollment IDI20041103001320
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 Reassignment

Medicare enrollment records show Sapna Pandya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dr Sapna Pandya DPM PC
5.3 mi
Foot Surgery
765 AMSTERDAM AVE, SUITE 1F
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
NPI 1134534118 (646) 258-4143

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

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
38 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
30 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10034 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 Sapna Pandya's NPI number?

The NPI number for Sapna Pandya is 1194801142. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Sapna Pandya located?

Sapna Pandya practices at 571 Academy St Ste Gle, New York, NY 10034. The listed phone number is (646) 991-9000.

What is Sapna Pandya's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Sapna Pandya enrolled in Medicare?

Yes. Sapna Pandya 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 organization bills Medicare for Sapna Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sapna Pandya reassigns Medicare benefits to Dr Sapna Pandya DPM PC (New York, NY). The 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 Sapna Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sapna Pandya was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.