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SANA MASOOD MAKHDOOM M.D.
NPI 1386806032
Internal Medicine - Rheumatology in Lagrange, GA

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1555 DOCTORS DR STE 102, LAGRANGE, GA 30240(706) 803-7890(770) 999-2850 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sana Masood Makhdoom M.d. NPPES

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

SANA MASOOD MAKHDOOM M.D. (NPI 1386806032) is an individual rheumatology provider in Lagrange, Georgia, licensed in Georgia (81437) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and maintains a secondary practice location in Dover.

NPPES Registry Identity

NPI1386806032
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSANA MASOOD MAKHDOOMCredential: M.D.
Location Address1555 DOCTORS DR STE 102Lagrange, GA 30240-4132
Mailing Address1555 Doctors Dr Ste 102Lagrange, GA 30240-4132 · (706) 803-7890 · Fax (770) 999-2850
Phone(706) 803-7890
Fax(770) 999-2850
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2008
Enumeration DateJune 25, 2008
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1386806032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in GA · 81437✔ Licensed in DE · C1-0011610
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2011-01216 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1555 DOCTORS DR STE 102, Lagrange, GA 30240
Open in Google Maps ↗

Secondary Practice Location 1

Location 1260 Beiser Blvd, STE 201Dover, DE 19904-5773 · Phone (302) 678-7438

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Sana Masood Makhdoom 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 ID3375713639
PECOS Enrollment IDI20181010002872
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 7

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.
283 services148 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
92 services18 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
70 services37 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
50 services27 patients

Hospital Affiliations CMS Care Compare

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

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30240 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. MARGARET D SCHAUFLER M.D.
Obstetrics & Gynecology
1555 DOCTORS DR STE 102
LAGRANGE, GA 30240
Troup County (706) 883-8733
KARIN TAYLOR MD
Physical Medicine & Rehabilitation
1555 DOCTORS DR STE 102
LAGRANGE, GA 30240
Troup County (706) 803-7901
SCHAUFLER & SCHAUFLER, OB-GYN
Clinic/Center (Medical Specialty)
1555 DOCTORS DR STE 102
LAGRANGE, GA 30240
Troup County (706) 883-8733

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 Sana Makhdoom's NPI number?

The NPI number for Sana Makhdoom is 1386806032. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Sana Makhdoom located?

Sana Makhdoom practices at 1555 Doctors Dr Ste 102, Lagrange, GA 30240. The listed phone number is (706) 803-7890.

What is Sana Makhdoom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sana Makhdoom enrolled in Medicare?

Yes. Sana Makhdoom 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 Sana Makhdoom accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sana Makhdoom 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 Sana Makhdoom affiliated with any hospitals?

According to CMS data, Sana Makhdoom is affiliated with Wellstar West Georgia Medical Center.

When was this NPI record last updated?

The NPPES record for Sana Makhdoom was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.