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DR. SANJIV WALIA M.D.
NPI 1336253681
Internal Medicine - Hematology & Oncology in Fort Pierce, FL

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
2215 NEBRASKA AVE, SUITE1F2, FORT PIERCE, FL 34950(772) 466-1977(772) 466-2433 Get Directions Write a Review

NPPES record last updated: July 11, 2012. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Sanjiv Walia M.d. NPPES

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

DR. SANJIV WALIA M.D. (NPI 1336253681) is an individual hematology & oncology provider in Fort Pierce, Florida, licensed in Florida (ME0042047) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1336253681
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. SANJIV WALIACredential: M.D.
Location Address2215 NEBRASKA AVE, SUITE1F2Fort Pierce, FL 34950-4864
Mailing Address2215 Nebraska Ave, Suite1f2Fort Pierce, FL 34950-4864 · (772) 466-1977 · Fax (772) 466-2433
Phone(772) 466-1977
Fax(772) 466-2433
Sole ProprietorYes
Medical School CMSOtherGraduated 1975
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 11, 2012
✔ NPI 1336253681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in FL · ME0042047
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2215 NEBRASKA AVE, Fort Pierce, FL 34950
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Other Identifiers 3

Medicare UPIND86056FL
Medicare ID-Type Unspecified56130AFL
Medicaid68316700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Dr. Sanjiv Walia 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 ID547434821
PECOS Enrollment IDI20111123000093
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34950 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%35 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%402 patients4/55-star benchmark: 100%
Hematology: Chronic Lymphocytic Leukemia (CLL): Baseline Flow Cytometry
Percentage of patients aged 18 years and older, seen within a 12 month reporting period, with a diagnosis of chronic lymphocytic leukemia (CLL) made at any time during or prior to the reporting period who had baseline flow cytometry studies performed and…
100%21 patients
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%402 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. NANJAPPA SUBRAMANIAN MD FACS
Surgery
2215 NEBRASKA AVE, SUITE 1 E
FORT PIERCE, FL 34950
St. Lucie County (772) 461-2555
MICHAEL J COSTELLO MD PA
Surgery
2215 NEBRASKA AVE, SUITE 3-D
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4666
SURGICAL SPECIALIST OF TREASURE COAST PA
Surgery
2215 NEBRASKA AVE, SUITE 1A
FORT PIERCE, FL 34950
St. Lucie County (772) 464-8722
PRAMOD JOSEPH MD LLC
Internal Medicine (Gastroenterology)
2215 NEBRASKA AVE, STE 1A
FORT PIERCE, FL 34950
St. Lucie County (772) 567-6181
DOC AESTHETICS.LLC
Family Medicine (Adult Medicine)
2215 NEBRASKA AVE, STE 2B
FORT PIERCE, FL 34950
St. Lucie County (772) 302-3767
RICHARD J MORGAN MD PA
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2215 NEBRASKA AVE, SUITE 3C
FORT PIERCE, FL 34950
St. Lucie County (772) 429-5354
MICHAEL J COSTELLO MD
Surgery
2215 NEBRASKA AVE, SUITE 3D
FORT PIERCE, FL 34950
St. Lucie County (772) 461-4666
ROSHAN LALTA HIRA SINGH MD
Surgery
2215 NEBRASKA AVE, SUITE 1-A
FORT PIERCE, FL 34950
St. Lucie County (772) 464-8722

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 Sanjiv Walia's NPI number?

The NPI number for Sanjiv Walia is 1336253681. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Sanjiv Walia located?

Sanjiv Walia practices at 2215 Nebraska Ave Suite1f2, Fort Pierce, FL 34950. The listed phone number is (772) 466-1977.

What is Sanjiv Walia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sanjiv Walia enrolled in Medicare?

Yes. Sanjiv Walia 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 Sanjiv Walia accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Sanjiv Walia 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.

When was this NPI record last updated?

The NPPES record for Sanjiv Walia was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.