RASHMI SANJAY M.D.
NPI 1205869948
Internal Medicine - Hematology & Oncology in Ridley Park, PA

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
93.18/100
CMS Quality Rating
33 W CHESTER PIKE, RIDLEY PARK, PA 19078(610) 521-2012(610) 521-3753 Get Directions Write a Review

NPPES record last updated: September 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rashmi Sanjay M.d. NPPES

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

RASHMI SANJAY M.D. (NPI 1205869948) is an individual hematology & oncology provider in Ridley Park, Pennsylvania, licensed in Pennsylvania (MD418780) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1205869948
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameRASHMI SANJAYCredential: M.D.
Location Address33 W CHESTER PIKERidley Park, PA 19078-2035
Mailing Address3998 Red Lion Rd, Ste 130Philadelphia, PA 19114-1443 · (610) 521-2012 · Fax (610) 521-3753
Fax(610) 521-3753
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 8, 2006
Last NPPES UpdateSeptember 15, 2017
NPI 1205869948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in PA · MD418780
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
33 W CHESTER PIKE, Ridley Park, PA 19078

Other Identifiers 3

Medicare PIN102148KFCPA
Medicare NSC1304740002PA
Medicare UPINH67432PA

Accepted 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

Rashmi Sanjay 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 ID8224041819
PECOS Enrollment IDI20060727000112
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 26

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.

Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
11,250 services22 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
8,600 services11 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,340 services33 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
3,340 services12 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
3,200 services29 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,168 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19078 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
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

93.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality75.12
Promoting Interoperability94
Improvement Activities40
Cost98.24

Reported Quality Measures

Advance Care Plan
98%959 patients4/55-star benchmark: 100%
Breast Cancer Screening
83%689 patients4/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
100%66 patients5/55-star benchmark: 87%
Colorectal Cancer Screening
67%975 patients4/55-star benchmark: 88%
Oncology: Medical and Radiation - Pain Intensity Quantified
99%1,144 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,169 patients
Patients screened: 100% · 1,169 patients
87%89 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%661 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers28 claims2,030 services$0.68 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers26 claims26 services$12.17 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 6

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

Internal Medicine (Hematology & Oncology)
33 W CHESTER PIKE
RIDLEY PARK, PA 19078
Internal Medicine (Hematology & Oncology)
33 W CHESTER PIKE
RIDLEY PARK, PA 19078
Internal Medicine (Hematology & Oncology)
33 W CHESTER PIKE
RIDLEY PARK, PA 19078
Internal Medicine (Hematology & Oncology)
33 W CHESTER PIKE
RIDLEY PARK, PA 19078
Internal Medicine (Hematology & Oncology)
33 W CHESTER PIKE
RIDLEY PARK, PA 19078
Nurse Practitioner (Adult Health)
33 W CHESTER PIKE
RIDLEY PARK, PA 19078

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 Rashmi Sanjay's NPI number?

The NPI number for Rashmi Sanjay is 1205869948. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Rashmi Sanjay located?

Rashmi Sanjay practices at 33 W Chester Pike, Ridley Park, PA 19078. The listed phone number is (610) 521-2012.

What is Rashmi Sanjay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Rashmi Sanjay enrolled in Medicare?

Yes. Rashmi Sanjay 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 Rashmi Sanjay accept?

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

According to CMS data, Rashmi Sanjay is affiliated with Bryn Mawr Hospital, Paoli Hospital, Chester County Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rashmi Sanjay was last updated on September 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.