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DR. SABYASACHI MOHAPATRA M.D.
NPI 1336250596
Internal Medicine - Gastroenterology in Neptune, NJ

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
1945 STATE ROUTE 33, NEPTUNE, NJ 07753(732) 897-2770(732) 897-3970 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2026, Jan 15, 2026, Apr 7, 2025 and 6 more (9 updates tracked since 2016).

About Dr. Sabyasachi Mohapatra M.d. NPPES

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

DR. SABYASACHI MOHAPATRA M.D. (NPI 1336250596) is an individual gastroenterology provider in Neptune, New Jersey, licensed in New Jersey (25MA06210700) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1336250596
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SABYASACHI MOHAPATRACredential: M.D.
Location Address1945 STATE ROUTE 33Neptune, NJ 07753-4859
Mailing Address7211 N Main StDayton, OH 45415-2566 · (952) 846-7090
Phone(732) 897-2770
Fax(732) 897-3970
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 5, 20269 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
✔ NPI 1336250596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in NJ · 25MA06210700✔ Licensed in TX · L5469✔ Licensed in SC · 91887✔ Licensed in OH · 35.129724✔ Licensed in IN · 01083437A
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1945 STATE ROUTE 33, Neptune, NJ 07753
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1100 Hospital Ln Ste 100Danville, IN 46122-1993 · Phone (317) 745-7310
Location 23 Richland Medical Park Dr Ste 120Columbia, SC 29203-6850 · Phone (803) 434-8866 · Fax (803) 933-3049
Location 31429 N 6th StTerre Haute, IN 47807-1019 · Phone (812) 242-3390 ext. 3223 · Fax (812) 242-3390

Other Identifiers 2

Medicaid143702201TX
Other8970M0TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, UnitedHealthcare.Insurance ›

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. Sabyasachi Mohapatra 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 ID5496721672
PECOS Enrollment IDI20240620003983
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 Reassignments

4

Medicare enrollment records show Sabyasachi Mohapatra reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Specialty Care PC
9.1 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Palmetto Health - University Of South Carolina Medical Group
556 mi
Family Medicine
115 N SUMTER ST STE 315
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Prisma Health Medical Group-Midlands
  • 1,466 clinicians in this Medicare group
NPI 1295211894 (803) 934-0810
Musc Community Physicians
613 mi
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group
NPI 1841878006 (803) 245-6290
Alaska Native Tribal Health Consortium
3,394 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662

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 6

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.

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.
45 services43 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
36 services36 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.
30 services25 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
22 services22 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420018
Location5 Medical ParkColumbia, SC 29203 · Richland County
Emergency services Birthing friendly

Musc Health Florence Medical Center

Acute Care Hospitals · Florence, SC
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number420091
Location805 Pamplico Hwy Box 100550Florence, SC 29505 · Florence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

MAULIK D SHAH DO
Internal Medicine (Gastroenterology)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2770
HANI NASER
Internal Medicine
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4483
KALIOPI MELLO
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
DR. EMILY NICOLE RIENZO MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4328
CHRISTINE BARONE D.O
Pediatrics (Neonatal-Perinatal Medicine)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4283
NIYOUSHA SADEGHPOUR MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
JUSTIN VAN NEST PA-C
Physician Assistant
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-2330
ZAINAB SHAHSAMAND MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-3712

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 Sabyasachi Mohapatra's NPI number?

The NPI number for Sabyasachi Mohapatra is 1336250596. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Sabyasachi Mohapatra located?

Sabyasachi Mohapatra practices at 1945 State Route 33, Neptune, NJ 07753. The listed phone number is (732) 897-2770.

What is Sabyasachi Mohapatra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sabyasachi Mohapatra enrolled in Medicare?

Yes. Sabyasachi Mohapatra 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.

Which organizations bill Medicare for Sabyasachi Mohapatra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sabyasachi Mohapatra reassigns Medicare benefits to 4 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Palmetto Health - University Of South Carolina Medical Group (Sumter, SC), Musc Community Physicians (Bamberg, SC) and Alaska Native Tribal Health Consortium (Anchorage, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sabyasachi Mohapatra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sabyasachi Mohapatra accept?

Health plans from BlueCross BlueShield of South Carolina and UnitedHealthcare list Sabyasachi Mohapatra 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 Sabyasachi Mohapatra affiliated with any hospitals?

According to CMS data, Sabyasachi Mohapatra is affiliated with Prisma Health Richland Hospital and Musc Health Florence Medical Center.

When was this NPI record last updated?

The NPPES record for Sabyasachi Mohapatra was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.