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SANJAY FERNANDO M.D.
NPI 1457332157
Internal Medicine - Nephrology in New Britain, CT

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
1 LIBERTY SQ, NEW BRITAIN, CT 06051(860) 827-1343(860) 827-1812 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjay Fernando M.d. NPPES

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

SANJAY FERNANDO M.D. (NPI 1457332157) is an individual nephrology provider in New Britain, Connecticut, licensed in Connecticut (043773) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1457332157
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSANJAY FERNANDOCredential: M.D.
Location Address1 LIBERTY SQNew Britain, CT 06051-2636
Mailing Address1 Liberty SqNew Britain, CT 06051-2636 · (860) 827-1343 · Fax (860) 827-1812
Phone(860) 827-1343
Fax(860) 827-1812
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 9, 2005
Last NPPES UpdateOctober 4, 2007
✔ NPI 1457332157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CT · 043773
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1 LIBERTY SQ, New Britain, CT 06051
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINI45517CT

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

Sanjay Fernando 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 ID7618996687
PECOS Enrollment IDI20051118000415
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 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.

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.
249 services97 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
229 services30 patients
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.
128 services79 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
110 services39 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.
71 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06051 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,026 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
83%24 patients4/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%81 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
7%316 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
26%316 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%316 patients1/55-star benchmark: 59%
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 20

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

DIGESTIVE DISEASE CONSULTANTS, PC
Internal Medicine (Gastroenterology)
1 LIBERTY SQ, SECOND FLOOR
NEW BRITAIN, CT 06051
Capitol Planning Region (860) 229-9688
CONNECTICUT SURGICAL GROUP, PC
Durable Medical Equipment & Medical Supplies
1 LIBERTY SQ
NEW BRITAIN, CT 06051
Capitol Planning Region (860) 547-0616
DR. JASON MAYO M.D.
Radiology (Diagnostic Radiology)
1 LIBERTY SQ
NEW BRITAIN, CT 06051
Capitol Planning Region (860) 827-0071
ADAM M GOLDSTEIN MD
Internal Medicine (Nephrology)
1 LIBERTY SQ
NEW BRITAIN, CT 06051
Capitol Planning Region (860) 827-1343
DR. ROBERT A LAPKIN MD
Internal Medicine (Nephrology)
1 LIBERTY SQ
NEW BRITAIN, CT 06051
Capitol Planning Region (860) 827-1343
MICHAEL LEGEYT MD LLC
Orthopaedic Surgery (Hand Surgery)
1 LIBERTY SQ, SUITE 102
NEW BRITAIN, CT 06051
Capitol Planning Region (860) 223-8500
CHRISTOPHER PUDLINSKI
Physical Therapist
1 LIBERTY SQ
NEW BRITAIN, CT 06051
Capitol Planning Region (860) 224-9422
EILEEN K PLOTKIN M.D.
Internal Medicine (Gastroenterology)
1 LIBERTY SQ
NEW BRITAIN, CT 06051
Capitol Planning Region (860) 229-9688

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 Sanjay Fernando's NPI number?

The NPI number for Sanjay Fernando is 1457332157. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Sanjay Fernando located?

Sanjay Fernando practices at 1 Liberty Sq, New Britain, CT 06051. The listed phone number is (860) 827-1343.

What is Sanjay Fernando's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sanjay Fernando enrolled in Medicare?

Yes. Sanjay Fernando 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.

When was this NPI record last updated?

The NPPES record for Sanjay Fernando was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.