HEMANTH SASIDHARAN PILLAI MD
NPI 1245726330
Hospitalist in Buffalo, NY

Q: What is Hemanth Sasidharan Pillai's NPI number?

The NPI number for Hemanth Sasidharan Pillai is 1245726330. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Q: What is Hemanth Sasidharan Pillai's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since July 02, 2018PECOS EnrolledAccepts Medicare Assignment

ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300(716) 845-3549 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2021, Jul 2, 2018 (2 updates tracked since 2018).

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About Hemanth Sasidharan Pillai Md NPPES

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

HEMANTH SASIDHARAN PILLAI MD (NPI 1245726330) is an individual hospitalist provider in Buffalo, New York, licensed in West Virginia (30297) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245726330

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameHEMANTH SASIDHARAN PILLAICredential: MD

Location AddressELM AND CARLTON STBuffalo, NY 14263-0001

Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300

Phone(716) 845-2300

Fax(716) 845-3549

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 2, 2018

Last NPPES UpdateApril 19, 20252 updates tracked since enumeration

NPPES CertifiedApril 19, 2025

✔ NPI 1245726330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in WV · 30297

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 30297 (WV)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

ELM AND CARLTON ST, Buffalo, NY 14263

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Hemanth Sasidharan Pillai Md 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 ID8325438039

PECOS Enrollment IDI20250925000967

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 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.

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.

191 services66 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

179 services174 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

120 services119 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.

75 services60 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

54 services51 patients

Hospital Affiliations CMS Care Compare

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

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510008

Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

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Physician Assistant