SAI SAMYUKTHA BANDARU
NPI 1396364527
Internal Medicine - Hematology & Oncology in Griffin, GA

Q: What is Sai Samyuktha Bandaru's NPI number?

The NPI number for Sai Samyuktha Bandaru is 1396364527. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Q: What is Sai Samyuktha Bandaru's specialty?

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

Active since April 08, 2020PECOS EnrolledAccepts Medicare Assignment

747 S 8TH ST STE C, GRIFFIN, GA 30224(770) 228-1767 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2026, Feb 7, 2025, Jul 12, 2023 and 1 more (4 updates tracked since 2020).

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About Sai Samyuktha Bandaru NPPES

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

SAI SAMYUKTHA BANDARU (NPI 1396364527) is an individual hematology & oncology provider in Griffin, Georgia, licensed in Georgia (112851) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396364527

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameSAI SAMYUKTHA BANDARU

Location Address747 S 8TH ST STE CGriffin, GA 30224-4884

Mailing Address747 S 8th St Ste CGriffin, GA 30224-4884 · (770) 228-1767 · Fax (770) 228-7562

Phone(770) 228-1767

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 8, 2020

Last NPPES UpdateJune 30, 20264 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1396364527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in GA · 112851✔ Licensed in MI · 4351050876

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

747 S 8TH ST STE C, Griffin, GA 30224

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Secondary Practice Locations 2

Location 11045 Southcrest Dr Ste 200Stockbridge, GA 30281-6113 · Phone (678) 289-0549

Location 216001 W 9 Mile RdSouthfield, MI 48075-4818 · Phone (248) 849-3541 · Fax (248) 849-2899

Accepted Insurance

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

Sai Samyuktha Bandaru 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 ID7719302223

PECOS Enrollment IDI20260609002037

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 Sai Samyuktha Bandaru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nsh Cancer Institute Professional Services G, LLC

47 mi

Hematology & Oncology

1100 JOHNSON FERRY RD NE, SUITE 600
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
163 clinicians in this Medicare group

NPI 1124379284 (404) 851-6378

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

Hospital Affiliations CMS Care Compare

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

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30224 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

$164.04 typical visit price

range $53.31 – $164.04

Typical copayment $41.01 (range $13.32 – $41.01)

Most-billed visit code 99205

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.

Other Providers at the Same Location NPPES 7

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

MS. ANNE MARIE HAPPE MSN

Nurse Practitioner