SANJANA J BHATTARAI M.D.
NPI 1225248453
Family Medicine in Oklahoma City, OK

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1025 STRAKA TER, OKLAHOMA CITY, OK 73139(405) 632-6688(405) 604-0708 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjana J Bhattarai M.d. NPPES

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

SANJANA J BHATTARAI M.D. (NPI 1225248453) is an individual family medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (26636) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2000).

NPPES Registry Identity

NPI1225248453
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANJANA J BHATTARAICredential: M.D.
Location Address1025 STRAKA TEROklahoma City, OK 73139-2544
Mailing Address1025 Straka TerOklahoma City, OK 73139-2544 · (405) 632-6688 · Fax (405) 604-0708
Fax(405) 604-0708
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2000
Enumeration DateMay 23, 2007
Last NPPES UpdateMarch 10, 2011
NPI 1225248453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 26636
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1025 STRAKA TER, Oklahoma City, OK 73139

Other Identifiers 1

Medicaid100734110BOK

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

Sanjana J Bhattarai 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 ID4385788991
PECOS Enrollment IDI20150108001178
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services18 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73139 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

84.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40
Cost54.39

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.

Nurse Practitioner (Women's Health)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Social Worker (Clinical)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Clinic/Center (Federally Qualified Health Center (FQHC))
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Dentist (General Practice)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Pharmacist
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Nurse Practitioner (Family)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Pharmacist (Ambulatory Care)
1025 STRAKA TER
OKLAHOMA CITY, OK 73139
Obstetrics & Gynecology
1025 STRAKA TER
OKLAHOMA CITY, OK 73139

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 Sanjana Bhattarai's NPI number?

The NPI number for Sanjana Bhattarai is 1225248453. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Sanjana Bhattarai located?

Sanjana Bhattarai practices at 1025 Straka Ter, Oklahoma City, OK 73139. The listed phone number is (405) 632-6688.

What is Sanjana Bhattarai's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sanjana Bhattarai enrolled in Medicare?

Yes. Sanjana Bhattarai 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 Sanjana Bhattarai accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Sanjana Bhattarai 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 Sanjana Bhattarai affiliated with any hospitals?

According to CMS data, Sanjana Bhattarai is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Sanjana Bhattarai was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.