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SARITA KANDEL SAPKOTA MBBS (M.D.)
NPI 1255611760
Hospitalist in Chattanooga, TN

Active since August 29, 2011PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
975 E 3RD ST, ATTN: UNIVERSITY HOSPITALISTS, CHATTANOOGA, TN 37403(423) 266-1490(423) 778-2108 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2021, Oct 14, 2020 (2 updates tracked since 2020).

About Sarita Kandel Sapkota Mbbs (m.d.) NPPES

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

SARITA KANDEL SAPKOTA MBBS (M.D.) (NPI 1255611760) is an individual hospitalist provider in Chattanooga, Tennessee, licensed in Tennessee (51937) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1255611760
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSARITA KANDEL SAPKOTACredential: MBBS (M.D.)
Location Address975 E 3RD ST, ATTN: UNIVERSITY HOSPITALISTSChattanooga, TN 37403-2147
Mailing Address975 E 3rd St, Attn: Provider EnrollmentChattanooga, TN 37403-2147 · (423) 778-5630 · Fax (423) 778-3146
Phone(423) 266-1490
Fax(423) 778-2108
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 29, 2011
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
✔ NPI 1255611760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TN · 51937
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.
975 E 3RD ST, Chattanooga, TN 37403
Open in Google Maps ↗

Other Names 1

Former Name (1)Sarita Kandel

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Sarita Kandel Sapkota Mbbs (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 ID244554707
PECOS Enrollment IDI20160415001992
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 3

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.
90 services41 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.
25 services18 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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37403 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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.

MEGAN A SPEARS CRNA
Nurse Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400
TENNESSEE CANCER SPECIALISTS, PLLC
Internal Medicine (Hematology & Oncology)
975 E 3RD ST, ERLINGER MEDICAL CENTER
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7977
DAVID SHVED D.O.
Hospitalist
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-5179
JASON DEDEKER MD
Psychiatry & Neurology (Psychiatry)
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7000
WILLIAM MICHAEL BRITT JR.
Internal Medicine
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-3894
MR. EDWARD BRIAN HALLOCK CRNA
Nurse Anesthetist, Certified Registered
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400
MRS. DEBORAH K WESTBROOK L.C.S.W.
Social Worker (Clinical)
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-7654
BRETT ESCARZA M.D.
Anesthesiology
975 E 3RD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 602-8400

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 Sarita Sapkota's NPI number?

The NPI number for Sarita Sapkota is 1255611760. It was assigned to this individual provider in the NPPES registry on August 29, 2011. The provider is also known as Sarita Kandel.

Where is Sarita Sapkota located?

Sarita Sapkota practices at 975 E 3rd St Attn: University Hospitalists, Chattanooga, TN 37403. The listed phone number is (423) 266-1490.

What is Sarita Sapkota's specialty?

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

Is Sarita Sapkota enrolled in Medicare?

Yes. Sarita Sapkota 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 Sarita Sapkota accept?

Health plans from Alliant Health Plans, Inc. list Sarita Sapkota 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 Sarita Sapkota affiliated with any hospitals?

According to CMS data, Sarita Sapkota is affiliated with Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Sarita Sapkota was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.