SANJU MAHATO MD
NPI 1366791923
Family Medicine in Chillicothe, OH

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
1049 WESTERN AVE, CHILLICOTHE, OH 45601(740) 773-4366(740) 775-7855 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 6, 2019, Jul 28, 2017 (2 updates tracked since 2017).

About Sanju Mahato Md NPPES

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

SANJU MAHATO MD (NPI 1366791923) is an individual family medicine provider in Chillicothe, Ohio, licensed in Ohio (35.126065) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1366791923
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSANJU MAHATOCredential: MD
Location Address1049 WESTERN AVEChillicothe, OH 45601-1104
Mailing AddressPo Box 188Chillicothe, OH 45601-0188 · (740) 773-4366 · Fax (740) 775-7855
Fax(740) 775-7855
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 29, 2012
Last NPPES UpdateNovember 6, 20192 updates tracked since enumeration
NPI 1366791923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35.126065
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1049 WESTERN AVE, Chillicothe, OH 45601

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

Sanju Mahato 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 ID5597997650
PECOS Enrollment IDI20151125002030
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.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

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

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Oxygen and Supplies (DC002N)

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

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $24.11 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 45601 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.72
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $21.18
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Family Medicine
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Clinic/Center (Federally Qualified Health Center (FQHC))
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Nurse Practitioner (Family)
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Registered Nurse (General Practice)
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Registered Nurse (Psychiatric/Mental Health)
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Registered Nurse
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Family Medicine
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Family Medicine
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Family Medicine
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Case Manager/Care Coordinator
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Registered Nurse
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Case Manager/Care Coordinator
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Psychologist
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Case Manager/Care Coordinator
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Social Worker
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Social Worker
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Social Worker
1049 WESTERN AVE
CHILLICOTHE, OH 45601
Case Manager/Care Coordinator
1049 WESTERN AVE
CHILLICOTHE, OH 45601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366791923, enumerated as an "individual" on August 29, 2012.

The provider is located at 1049 WESTERN AVE CHILLICOTHE, OH 45601 and the phone number is (740) 773-4366.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: CareSource, MedMutual, Oscar Health Insurance and. Please consult your insurance carrier or call the provider to verify.