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DR. SANJAY MOHAN RAMCHANDANI M.D.
NPI 1225009640
Obstetrics & Gynecology in Du Bois, PA

Active since February 01, 2006PECOS Enrolled
145 HOSPITAL AVE, SUITE 315, DU BOIS, PA 15801(814) 371-6721(814) 371-3921 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sanjay Mohan Ramchandani M.d. NPPES

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

DR. SANJAY MOHAN RAMCHANDANI M.D. (NPI 1225009640) is an individual obstetrics & gynecology provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD073392L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Rutgers New Jersey Medical School (1998).

NPPES Registry Identity

NPI1225009640
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SANJAY MOHAN RAMCHANDANICredential: M.D.
Location Address145 HOSPITAL AVE, SUITE 315Du Bois, PA 15801-1462
Mailing Address145 Hospital Ave, Suite 315Du Bois, PA 15801-1462 · (814) 371-6721 · Fax (814) 371-3921
Phone(814) 371-6721
Fax(814) 371-3921
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1998
Enumeration DateFebruary 1, 2006
Last NPPES UpdateJuly 1, 2016
✔ NPI 1225009640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD073392L
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X · License L5107 (TX)
145 HOSPITAL AVE, Du Bois, PA 15801
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Other Names 1

Other Name (5)Dr. Sanjay Mohan Ramchandani M.d.

Other Identifiers 5

Medicare ID-Type Unspecified8D4761TX
Other369529PA · Medicare Ptan
Medicare UPINH65501TX
Medicaid151866402TX
Medicaid10296982PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanjay Mohan Ramchandani M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527008051
PECOS Enrollment IDI20170417000790
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

3

Medicare enrollment records show Sanjay Ramchandani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ob Hospitalist Group LLC
762 mi
Hospitalist
800 PRUDENTIAL DR
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1154163533 (864) 908-3530
Premier Women's Care Ob/Gyn PLLC
926 mi
Obstetrics & Gynecology
2250 OSPREY BLVD, SUITE 104
Bartow, FL 33830
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Premier Womens Care Ob/Gyn PLLC
NPI 1235678756 (888) 488-2702
Dhp Of Manatee PA
992 mi
Obstetrics & Gynecology
901 45TH ST
Mangonia Park, FL 33407
  • Reassigned Medicare billing, Florida enrollment
  • 237 clinicians in this Medicare group
NPI 1134771611 (561) 844-6300

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.

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

GREGORY LOUIS CARPENTER PA-C
Physician Assistant
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-3750
MELISSA MARIE HILLIARD PA-C
Physician Assistant
145 HOSPITAL AVE, SUITE 301
DU BOIS, PA 15801
Clearfield County (814) 375-4000
CURTIS MICHAEL GRENOBLE P.A.-C
Physician Assistant (Medical)
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-3750
STEPHEN M. KRUK D.O.
Internal Medicine
145 HOSPITAL AVE, SUITE 215
DU BOIS, PA 15801
Clearfield County (814) 371-1717
MARK A. PIASIO M.D.
Orthopaedic Surgery
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-9617
WOMENS CARE OF WESTERN PENNSYLVANIA LLC
Obstetrics & Gynecology
145 HOSPITAL AVE, SUITE 315
DU BOIS, PA 15801
Clearfield County (814) 371-6172
DR. DANIEL S WOOLLEY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
145 HOSPITAL AVE, SUITE 206
DU BOIS, PA 15801
Clearfield County (814) 375-2040
DR. BRENT AARON BARNES DO
Internal Medicine (Cardiovascular Disease)
145 HOSPITAL AVE, STE 211
DUBOIS, PA 15801
Clearfield County (814) 375-3722

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 Sanjay Ramchandani's NPI number?

The NPI number for Sanjay Ramchandani is 1225009640. It was assigned to this individual provider in the NPPES registry on February 1, 2006. The provider is also known as Dr. Sanjay Mohan Ramchandani M.D..

Where is Sanjay Ramchandani located?

Sanjay Ramchandani practices at 145 Hospital Ave Suite 315, Du Bois, PA 15801. The listed phone number is (814) 371-6721.

What is Sanjay Ramchandani's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sanjay Ramchandani enrolled in Medicare?

Yes. Sanjay Ramchandani is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sanjay Ramchandani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Ramchandani reassigns Medicare benefits to 3 organizations: Ob Hospitalist Group LLC (Jacksonville, FL), Premier Women's Care Ob/Gyn PLLC (Bartow, FL) and Dhp Of Manatee PA (Mangonia Park, FL). 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 Sanjay Ramchandani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Ramchandani accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Sanjay Ramchandani 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 Sanjay Ramchandani affiliated with any hospitals?

According to CMS data, Sanjay Ramchandani is affiliated with Winter Haven Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Ramchandani was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.