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SANDEEP KUMAR RAJAN M.D.
NPI 1396852273
Internal Medicine - Hematology & Oncology in Nashville, TN

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 31, 2023, Jul 15, 2021, May 19, 2021 and 3 more (6 updates tracked since 2018).

About Sandeep Kumar Rajan M.d. NPPES

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

SANDEEP KUMAR RAJAN M.D. (NPI 1396852273) is an individual hematology & oncology provider in Nashville, Tennessee, licensed in Tennessee (50767) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396852273
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSANDEEP KUMAR RAJANCredential: M.D.
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Phone(615) 322-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 24, 2006
Last NPPES UpdateMay 31, 20236 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
✔ NPI 1396852273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TN · 50767
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 ListedInternal MedicineTaxonomy 207R00000X · License 50767 (TN)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 50767 (TN)
3601 THE VANDERBILT CLINIC, Nashville, TN 37232
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1956 Court Ave, Suite D 322 BMemphis, TN 38103-2814 · Phone (901) 448-2338
Location 26401 Poplar Ave Ste 195Memphis, TN 38119 · Phone (901) 866-8547
Location 380 Humphreys Center Dr Ste 330Memphis, TN 38120-2363 · Phone (901) 752-6131 · Fax (901) 752-6170

Other Identifiers 5

Medicaid1396852273MO
Medicaid201207001AR
MedicaidQ002134TN
Medicaid04586371MS
Medicaid003180571AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare, Health Advantage 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

Sandeep Kumar Rajan 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 ID446254957
PECOS Enrollment IDI20131217000321, I20230921001128, I20230922002980
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 Reassignments

6

Medicare enrollment records show Sandeep Rajan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chattanooga Hamilton County Hospital Authority
98 mi
Emergency Medicine
128 WHEELERTOWN AVENUE
Pikeville, TN 37367
  • Reassigned Medicare billing, Tennessee enrollment
  • 533 clinicians in this Medicare group
NPI 1023178787 (423) 447-2112
Baptist Memorial Hospital-Tipton
166 mi
General Acute Care Hospital
1995 HIGHWAY 51 S
Covington, TN 38019
  • Reassigned Medicare billing, Tennessee enrollment
  • 56 clinicians in this Medicare group
NPI 1316901937 (901) 476-2621
Baptist Memorial Hospital Union County, Inc.
169 mi
General Acute Care Hospital
200 HWY 30 W
New Albany, MS 38652
  • Reassigned Medicare billing, Mississippi enrollment
  • 94 clinicians in this Medicare group
NPI 1780648352 (662) 532-7631
Baptist Memorial Medical Group Inc
183 mi
Internal Medicine
8970 WINCHESTER RD
Memphis, TN 38125
  • Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
  • 95 clinicians in this Medicare group
NPI 1306089206 (901) 227-4068
Baptist Memorial Hospital-Desoto, Inc,
197 mi
General Acute Care Hospital
7601 SOUTHCREST PKWY
Southaven, MS 38671
  • Reassigned Medicare billing, Mississippi enrollment
  • 31 clinicians in this Medicare group
NPI 1194789818 (662) 349-4000
Baptist Memorial Hospital - Crittenden Inc
202 mi
General Acute Care Hospital
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Arkansas enrollment
  • 12 clinicians in this Medicare group
NPI 1437634524 (870) 394-7800

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

Areas of Expertise CMS Part B claims 10

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
260 services118 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
223 services74 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
210 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
209 services78 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
170 services89 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
94 services78 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Baptist Memorial Hospital Tipton

Acute Care Hospitals · Covington, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440131
Location1995 Highway 51 SCovington, TN 38019 · Tipton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$160.89 typical visit price
range $52.64 – $160.89
Typical copayment $40.22 (range $13.16 – $40.22)
Most-billed visit code 99205
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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. ENGLISH FLACK MD
Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DANIEL K BARRETT APRN
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
JACQUELYN L. GARNER PNP
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. ROBERT JAMES LENTZ M.D.
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
LYNN HOLLIDAY M.D.
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000
DR. HEATHER KRETH PSY.D
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
AARON WESLEY SCOTT APN
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 936-2000
DR. COLLEEN M KIERNAN M.D.
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Davidson County (615) 322-3000

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 Sandeep Rajan's NPI number?

The NPI number for Sandeep Rajan is 1396852273. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Sandeep Rajan located?

Sandeep Rajan practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is Sandeep Rajan's specialty?

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

Is Sandeep Rajan enrolled in Medicare?

Yes. Sandeep Rajan 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 organizations bill Medicare for Sandeep Rajan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Rajan reassigns Medicare benefits to 6 organizations: Chattanooga Hamilton County Hospital Authority (Pikeville, TN), Baptist Memorial Hospital-Tipton (Covington, TN), Baptist Memorial Hospital Union County, Inc. (New Albany, MS), Baptist Memorial Medical Group Inc (Memphis, TN), Baptist Memorial Hospital-Desoto, Inc, (Southaven, MS) and 1 more organization, listed in the Medicare section above. Each 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 Sandeep Rajan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Rajan accept?

Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, Health Advantage, Octave and Oscar Health Plan, Inc. and 1 other insurer list Sandeep Rajan 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 Sandeep Rajan affiliated with any hospitals?

According to CMS data, Sandeep Rajan is affiliated with Baptist Memorial Hospital and Baptist Memorial Hospital Tipton.

When was this NPI record last updated?

The NPPES record for Sandeep Rajan was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.