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DR. GIRIDHAR ANANDA RAO SANTEBENNUR M.D.
NPI 1407976939
Internal Medicine - Hematology & Oncology in Pittsburgh, PA

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
85.56/100
CMS Quality Rating
247 MOREWOOD AVE, PITTSBURGH, PA 15213(412) 622-0290(412) 681-7605 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Giridhar Ananda Rao Santebennur M.d. NPPES

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

DR. GIRIDHAR ANANDA RAO SANTEBENNUR M.D. (NPI 1407976939) is an individual hematology & oncology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD434187) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1407976939
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. GIRIDHAR ANANDA RAO SANTEBENNURCredential: M.D.
Location Address247 MOREWOOD AVEPittsburgh, PA 15213-1861
Mailing Address247 Morewood AvePittsburgh, PA 15213-1861 · (412) 622-0290 · Fax (412) 681-7605
Phone(412) 622-0290
Fax(412) 681-7605
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 29, 2007
Last NPPES UpdateOctober 9, 2020
NPPES CertifiedOctober 9, 2020
✔ NPI 1407976939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PA · MD434187
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.
247 MOREWOOD AVE, Pittsburgh, PA 15213
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia 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

Dr. Giridhar Ananda Rao Santebennur 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 ID7911070503
PECOS Enrollment IDI20141212000326
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

2

Medicare enrollment records show Giridhar Santebennur reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wmc Physician Practices LLC
28 mi
Internal Medicine
560 STEUBENVILLE PIKE
Burgettstown, PA 15021
  • Reassigned Medicare billing, West Virginia enrollment
  • 131 clinicians in this Medicare group
NPI 1518303288 (304) 797-6557
Wheeling Hospital, Inc.
37 mi
Family Medicine
1006 COMMERCE ST
Wellsburg, WV 26070
  • Reassigned Medicare billing, West Virginia enrollment
  • 502 clinicians in this Medicare group
NPI 1750531984 (304) 737-4435

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 9

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.
117 services77 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 services62 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.
63 services56 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services36 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.
26 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Reynolds Memorial Hospital

Acute Care Hospitals · Glen Dale, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510013
Location800 Wheeling AveGlen Dale, WV 26038 · Marshall County
Emergency services Birthing friendly

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

85.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.62
Promoting Interoperability100
Improvement Activities40
Cost56.87

Other Providers at the Same Location NPPES

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

ALLEGHENY CLINIC MEDICAL ONCOLOGY
Internal Medicine (Hematology & Oncology)
247 MOREWOOD AVE
PITTSBURGH, PA 15213
Allegheny County (412) 770-1826

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 Giridhar Santebennur's NPI number?

The NPI number for Giridhar Santebennur is 1407976939. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Giridhar Santebennur located?

Giridhar Santebennur practices at 247 Morewood Ave, Pittsburgh, PA 15213. The listed phone number is (412) 622-0290.

What is Giridhar Santebennur's specialty?

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

Is Giridhar Santebennur enrolled in Medicare?

Yes. Giridhar Santebennur 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 Giridhar Santebennur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Giridhar Santebennur reassigns Medicare benefits to 2 organizations: Wmc Physician Practices LLC (Burgettstown, PA) and Wheeling Hospital, Inc. (Wellsburg, WV). 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 Giridhar Santebennur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Giridhar Santebennur accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Highmark Blue Cross Blue Shield West Virginia and Molina Healthcare list Giridhar Santebennur 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 Giridhar Santebennur affiliated with any hospitals?

According to CMS data, Giridhar Santebennur is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, West Virginia University Hospitals, Inc, Reynolds Memorial Hospital, Weirton Medical Center, Inc and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Giridhar Santebennur was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.