SANDHYA DANDLURI VENKATA MD
NPI 1285081380
Internal Medicine in Newark, DE

Active since May 18, 2016PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718(302) 623-0188(302) 733-5640 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2019, Apr 5, 2019, May 18, 2016 (3 updates tracked since 2016).

About Sandhya Dandluri Venkata Md NPPES

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

SANDHYA DANDLURI VENKATA MD (NPI 1285081380) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0013311) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1285081380
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDHYA DANDLURI VENKATACredential: MD
Location Address4755 OGLETOWN STANTON RD STE 5A43Newark, DE 19718-2200
Mailing Address4755 Ogletown Stanton Rd Ste 5a43Newark, DE 19718-2200 · (302) 623-0188 · Fax (302) 733-5640
Fax(302) 733-5640
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 18, 2016
Last NPPES UpdateOctober 7, 20193 updates tracked since enumeration
NPI 1285081380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C1-0013311
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License C1-0013311 (DE)
4755 OGLETOWN STANTON RD STE 5A43, Newark, DE 19718

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

Sandhya Dandluri Venkata 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 ID7517299266
PECOS Enrollment IDI20240305004543, I20240306001904
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.
258 services124 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.
113 services57 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.
59 services57 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.
52 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Internal Medicine (Infectious Disease)
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Physician Assistant
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718
Internal Medicine
4755 OGLETOWN STANTON RD STE 5A43
NEWARK, DE 19718

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 Sandhya Dandluri Venkata's NPI number?

The NPI number for Sandhya Dandluri Venkata is 1285081380. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Sandhya Dandluri Venkata located?

Sandhya Dandluri Venkata practices at 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.

What is Sandhya Dandluri Venkata's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandhya Dandluri Venkata enrolled in Medicare?

Yes. Sandhya Dandluri Venkata 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 Sandhya Dandluri Venkata accept?

Health plans from AmeriHealth Caritas Next list Sandhya Dandluri Venkata 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 Sandhya Dandluri Venkata affiliated with any hospitals?

According to CMS data, Sandhya Dandluri Venkata is affiliated with Inova Loudoun Hospital and Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Sandhya Dandluri Venkata was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.