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SANJANA PAI MD
NPI 1457580953
Family Medicine - Adult Medicine in Holyoke, MA

Active since July 07, 2009PECOS EnrolledAccepts Medicare Assignment
230 MAPLE ST, HOLYOKE, MA 01040(413) 420-2200(413) 534-5416 Get Directions Write a Review

NPPES record last updated: March 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sanjana Pai Md NPPES

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

SANJANA PAI MD (NPI 1457580953) is an individual adult medicine provider in Holyoke, Massachusetts, licensed in Massachusetts (251383) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Holyoke Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1457580953
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameSANJANA PAICredential: MD
Location Address230 MAPLE STHolyoke, MA 01040-5144
Mailing Address230 Maple StHolyoke, MA 01040-5144 · (413) 420-2200 · Fax (413) 534-5416
Phone(413) 420-2200
Fax(413) 534-5416
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 7, 2009
Last NPPES UpdateMarch 14, 2013
✔ NPI 1457580953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in MA · 251383
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
230 MAPLE ST, Holyoke, MA 01040
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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

Sanjana Pai Md 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 ID1153573423
PECOS Enrollment IDI20121213000011
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 2

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.

Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
38 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
25 services17 patients

Hospital Affiliations CMS Care Compare

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

Holyoke Medical Center

Acute Care Hospitals · Holyoke, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220024
Location575 Beech StreetHolyoke, MA 01040 · Hampden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers51 claims89 services$4.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers28 claims32 services$0.69 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KAREN HORGAN
Registered Nurse (Community Health)
230 MAPLE ST
HOLYOKE, MA 01040
Hampden County (413) 420-2200
RUTH SOKOLOSKI RN
Registered Nurse (General Practice)
230 MAPLE ST
HOLYOKE, MA 01040
Hampden County (413) 420-2200
FREDDY DEJESUS
Counselor
230 MAPLE ST
HOLYOKE, MA 01040
Hampden County (413) 322-7380
ERIKA ODALYS RODRIGUEZ
Counselor
230 MAPLE ST
HOLYOKE, MA 01040
Hampden County (413) 322-7380
ROBBIE S LAUTER FNP
Nurse Practitioner (Family)
230 MAPLE ST
HOLYOKE, MA 01040
Hampden County (413) 420-2200
MRS. LORI ANN CHAVES MA
Counselor (Mental Health)
230 MAPLE ST, SUITE B1
HOLYOKE, MA 01040
Hampden County (413) 532-9446
DR. MEGAN FILADELFO OD
Optometrist
230 MAPLE ST
HOLYOKE, MA 01040
Hampden County (413) 420-2108
SHIRLEY MOE
Registered Nurse (Community Health)
230 MAPLE ST
HOLYOKE, MA 01040
Hampden County (413) 420-2200

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 Sanjana Pai's NPI number?

The NPI number for Sanjana Pai is 1457580953. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Sanjana Pai located?

Sanjana Pai practices at 230 Maple St, Holyoke, MA 01040. The listed phone number is (413) 420-2200.

What is Sanjana Pai's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Sanjana Pai enrolled in Medicare?

Yes. Sanjana Pai 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.

Is Sanjana Pai affiliated with any hospitals?

According to CMS data, Sanjana Pai is affiliated with Holyoke Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjana Pai was last updated on March 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.