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DR. SANDHYA MANIVANNAN GELOU M.D.
NPI 1447515853
Family Medicine in Bellingham, WA

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
2101 CORNWALL AVE STE 101, BELLINGHAM, WA 98225(360) 288-4343(360) 339-5566 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2022, Oct 16, 2019, Mar 20, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Sandhya Manivannan Gelou M.d. NPPES

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

DR. SANDHYA MANIVANNAN GELOU M.D. (NPI 1447515853) is an individual family medicine provider in Bellingham, Washington, licensed in Washington (MD60717353) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1447515853
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SANDHYA MANIVANNAN GELOUCredential: M.D.
Location Address2101 CORNWALL AVE STE 101Bellingham, WA 98225-3676
Mailing Address2101 Cornwall Ave Ste 101Bellingham, WA 98225-3676 · (360) 288-4343 · Fax (360) 339-5566
Phone(360) 288-4343
Fax(360) 339-5566
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 11, 2012
Last NPPES UpdateMay 16, 20225 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1447515853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD60717353✔ Licensed in CA · 151241
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.
2101 CORNWALL AVE STE 101, Bellingham, WA 98225
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Other Names 1

Former Name (1)Dr. Sandhya Manivannan M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Sandhya Manivannan Gelou 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 ID1759506686
PECOS Enrollment IDI20191211003143
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 5

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.
214 services80 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
81 services36 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.
39 services39 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.
27 services15 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98225 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Reported Quality Measures

Breast Cancer Screening
40%151 patients2/55-star benchmark: 93%
Cervical Cancer Screening
9%249 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
50%266 patients3/55-star benchmark: 88%
Diabetes: Eye Exam
59%164 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%164 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
83%1,494 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
74%105 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
85%457 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
57%436 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 350 patients
Patients screened: 80% · 350 patients
74%23 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%145 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 113 patients
Patients totalRate: 1% · 113 patients
1%113 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

LUCIA EGBERT PEARSON A.R.N.P., M.P.H.
Nurse Practitioner (Primary Care)
2101 CORNWALL AVE STE 101
BELLINGHAM, WA 98225
Whatcom County (360) 647-1900
DR. ALEXANDER CONSTANTIN GELOU M.D.
Family Medicine
2101 CORNWALL AVE STE 101
BELLINGHAM, WA 98225
Whatcom County (360) 288-4343
DIABETES, OSTEOPOROSIS & WEIGHT LOSS CENTER PLLC
Family Medicine
2101 CORNWALL AVE STE 101
BELLINGHAM, WA 98225
Whatcom County (360) 288-4343

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 Sandhya Gelou's NPI number?

The NPI number for Sandhya Gelou is 1447515853. It was assigned to this individual provider in the NPPES registry on July 11, 2012. The provider is also known as Dr. Sandhya Manivannan M.D..

Where is Sandhya Gelou located?

Sandhya Gelou practices at 2101 Cornwall Ave Ste 101, Bellingham, WA 98225. The listed phone number is (360) 288-4343.

What is Sandhya Gelou's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandhya Gelou enrolled in Medicare?

Yes. Sandhya Gelou 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 Sandhya Gelou accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sandhya Gelou 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.

When was this NPI record last updated?

The NPPES record for Sandhya Gelou was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.