DR. WATHAN SANN M.D
NPI 1366770323
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since December 01, 2009PECOS EnrolledAccepts Medicare Assignment
155 55TH ST, LUTHREAN MEDICAL CENTER, BROOKLYN, NY 11220(718) 630-7000 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Wathan Sann M.d NPPES

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

DR. WATHAN SANN M.D (NPI 1366770323) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1366770323
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. WATHAN SANNCredential: M.D
Location Address155 55TH ST, LUTHREAN MEDICAL CENTERBrooklyn, NY 11220
Mailing Address1517 Bay Ridge PkwyBrooklyn, NY 11228-2214 · (347) 962-7540
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 1, 2009
Last NPPES UpdateOctober 20, 2021
NPPES CertifiedOctober 20, 2021
✔ NPI 1366770323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
155 55TH ST, Brooklyn, NY 11220

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. Wathan Sann 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 ID7315196318
PECOS Enrollment IDI20121008000456
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 Wathan Sann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
155 55TH ST
BROOKLYN, NY 11220

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 Wathan Sann's NPI number?

The NPI number for Wathan Sann is 1366770323. It was assigned to this individual provider in the NPPES registry on December 1, 2009.

Where is Wathan Sann located?

Wathan Sann practices at 155 55th St Luthrean Medical Center, Brooklyn, NY 11220. The listed phone number is (718) 630-7000.

What is Wathan Sann's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Wathan Sann enrolled in Medicare?

Yes. Wathan Sann 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 organization bills Medicare for Wathan Sann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wathan Sann reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). The 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 Wathan Sann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wathan Sann was last updated on October 20, 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.