DR. SANDHYA RAI-SHERPA M.D.
NPI 1326038944
Internal Medicine in Denver, CO

Q: What is Sandhya Rai-sherpa's NPI number?

The NPI number for Sandhya Rai-sherpa is 1326038944. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Q: What is Sandhya Rai-sherpa's specialty?

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

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment

1400 JACKSON ST, DENVER, CO 80206(303) 388-4461(303) 270-2206 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2020, Aug 25, 2020, Aug 31, 2016 (3 updates tracked since 2016).

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About Dr. Sandhya Rai-sherpa M.d. NPPES

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

DR. SANDHYA RAI-SHERPA M.D. (NPI 1326038944) is an individual internal medicine provider in Denver, Colorado, licensed in Colorado (45283) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1326038944

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SANDHYA RAI-SHERPACredential: M.D.

Location Address1400 JACKSON STDenver, CO 80206-2761

Mailing Address1400 Jackson StDenver, CO 80206-2761 · (303) 388-4461 · Fax (303) 398-1211

Phone(303) 388-4461

Fax(303) 270-2206

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 25, 2005

Last NPPES UpdateNovember 11, 20203 updates tracked since enumeration

NPPES CertifiedNovember 11, 2020

✔ NPI 1326038944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CO · 45283

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.

1400 JACKSON ST, Denver, CO 80206

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Other Identifiers 4

Medicaid87102862CO

Medicaid1326038944CO

Other294376YLSHCO · Medicare Ptan

OtherP00236597PA · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sandhya Rai-sherpa 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 ID4880580307

PECOS Enrollment IDI20070419000050

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.

Medicare Billing Reassignment

Medicare enrollment records show Sandhya Rai-sherpa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

National Jewish Health

Same address

General Acute Care Hospital

1400 JACKSON ST
Denver, CO 80206

Reassigned Medicare billing, Colorado enrollment
281 clinicians in this Medicare group

NPI 1326015777 (303) 388-4461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 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.

243 services88 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.

160 services55 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.

41 services39 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.

25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80206 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers16 claims16 services$14.54 avg. paid by Medicare

Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434

DME-Oxygen and Supplies · category DC000N

2 suppliers20 claims20 services$32.53 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers36 claims36 services$84.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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