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SANGEETA S NADKARNI M.D.
NPI 1245332667
Internal Medicine - Nephrology in Lawrence, MA

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
500 MERRIMACK ST, RIVERWALK, LAWRENCE, MA 01843(978) 557-8900(978) 557-8867 Get Directions Write a Review

NPPES record last updated: November 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sangeeta S Nadkarni M.d. NPPES

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

SANGEETA S NADKARNI M.D. (NPI 1245332667) is an individual nephrology provider in Lawrence, Massachusetts, licensed in Massachusetts (226820) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1245332667
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSANGEETA S NADKARNICredential: M.D.
Location Address500 MERRIMACK ST, RIVERWALKLawrence, MA 01843-1756
Mailing Address500 Merrimack St, RiverwalkLawrence, MA 01843-1756 · (978) 557-8900 · Fax (978) 557-8867
Phone(978) 557-8900
Fax(978) 557-8867
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 5, 2006
Last NPPES UpdateNovember 20, 2012
✔ NPI 1245332667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MA · 226820
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

500 MERRIMACK ST, Lawrence, MA 01843
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Other Identifiers 14

Other0468941MA · Neighborhood Health Plan
Other110083560AMA · Masshealth
Other1245332667MA · Evercare
Other9445361MA · Aetna Non Hmo
Other946887-01MA · Network Health
Medicaid30224106NH
Medicare PINA4073801MA
Other753648MA · Tufts
Other8662203MA · Cigna
Other1245332667MA · Aetna Hmo
Other1245332667MA · Fallon Community Health Plan
OtherP00955490MA · Railroad Medicare
Other1245332667MA · Blue Cross Blue Shield
OtherAA154235MA · Harvard Pilgrim

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Sangeeta S Nadkarni 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 ID7315946894
PECOS Enrollment IDI20061211000347
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 12

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.
333 services206 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
171 services32 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
130 services24 patients
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.
95 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
85 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
85 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220029
Location25 Highland AvenueNewburyport, MA 01950 · Essex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01843 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%865 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
29%1,031 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
68%677 patients3/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
92%677 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
12%677 patients1/55-star benchmark: 59%
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.

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.

BRITTANY THIBAULT NP
Nurse Practitioner (Family)
500 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (888) 227-3762
JENNIFER D DURNING N.P.
Nurse Practitioner
500 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 557-8880
JANE A. THOMPSON M.D.
Internal Medicine
500 MERRIMACK ST, RIVERWALK
LAWRENCE, MA 01843
Essex County (978) 557-8700
PETER SARAFAN M.D.
Emergency Medicine
500 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 557-8800
MASS GENERAL BRIGHAM COMMUNITY PHYSICIANS INC.
Durable Medical Equipment & Medical Supplies
500 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 557-8700
TARA LYNN STALEY FNP
Nurse Practitioner
500 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 557-8800
TIFFANY CLAPP NP
Nurse Practitioner (Family)
500 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 557-8800
JENNIFER DAILEY NP
Nurse Practitioner (Adult Health)
500 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 557-8800

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 Sangeeta Nadkarni's NPI number?

The NPI number for Sangeeta Nadkarni is 1245332667. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Sangeeta Nadkarni located?

Sangeeta Nadkarni practices at 500 Merrimack St Riverwalk, Lawrence, MA 01843. The listed phone number is (978) 557-8900.

What is Sangeeta Nadkarni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sangeeta Nadkarni enrolled in Medicare?

Yes. Sangeeta Nadkarni 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 Sangeeta Nadkarni accept?

Health plans from Anthem Blue Cross and Blue Shield list Sangeeta Nadkarni 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 Sangeeta Nadkarni affiliated with any hospitals?

According to CMS data, Sangeeta Nadkarni is affiliated with Lawrence General Hospital, Anna Jaques Hospital, North Shore Medical Center -, Holy Family Hospital and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Sangeeta Nadkarni was last updated on November 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.