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RAJIV SINANAN MBBS
NPI 1457737728
Internal Medicine - Nephrology in Cookeville, TN

Active since August 10, 2015PECOS EnrolledAccepts Medicare Assignment
50.25/100
CMS Quality Rating
221 N OAK AVE, COOKEVILLE, TN 38501(931) 646-0880(866) 834-5618 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rajiv Sinanan Mbbs NPPES

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

RAJIV SINANAN MBBS (NPI 1457737728) is an individual nephrology provider in Cookeville, Tennessee, licensed in Tennessee (60853) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1457737728
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRAJIV SINANANCredential: MBBS
Location Address221 N OAK AVECookeville, TN 38501-2437
Mailing Address221 N Oak AveCookeville, TN 38501-2437 · (931) 646-0880 · Fax (866) 834-5618
Phone(931) 646-0880
Fax(866) 834-5618
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 10, 2015
Last NPPES UpdateAugust 25, 2020
NPPES CertifiedAugust 25, 2020
✔ NPI 1457737728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TN · 60853
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
221 N OAK AVE, Cookeville, TN 38501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Rajiv Sinanan Mbbs 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 ID9638594039
PECOS Enrollment IDI20221116002989
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 8

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.
747 services363 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.
383 services129 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.
123 services93 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.
97 services91 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
65 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.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
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.

50.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.97
Promoting Interoperability0
Improvement Activities40
Cost34.88

Reported Quality Measures

Breast Cancer Screening
0%218 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%96 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
5%60 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
74%352 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%174 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
75%174 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
91%2,476 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%703 patients1/55-star benchmark: 100%
HIV Screening
2%224 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%887 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
2%876 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%899 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 654 patients
Patients screened: 98% · 654 patients
75%57 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
71%280 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 720 patients
Patients totalRate: 0% · 720 patients
0%720 patients5/55-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.

MID-STATE SPORTS MEDICINE
Orthopaedic Surgery
221 N OAK AVE
COOKEVILLE, TN 38501
Putnam County (931) 525-6676
TN LUNG AND SLEEP CENTER LLC
Internal Medicine (Pulmonary Disease)
221 N OAK AVE
COOKEVILLE, TN 38501
Putnam County (931) 646-0880
MR. PARDEEP K SHARMA MD
Family Medicine
221 N OAK AVE
COOKEVILLE, TN 38501
Putnam County (931) 646-0880

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 Rajiv Sinanan's NPI number?

The NPI number for Rajiv Sinanan is 1457737728. It was assigned to this individual provider in the NPPES registry on August 10, 2015.

Where is Rajiv Sinanan located?

Rajiv Sinanan practices at 221 N Oak Ave, Cookeville, TN 38501. The listed phone number is (931) 646-0880.

What is Rajiv Sinanan's specialty?

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

Is Rajiv Sinanan enrolled in Medicare?

Yes. Rajiv Sinanan 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 Rajiv Sinanan accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Rajiv Sinanan 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 Rajiv Sinanan was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.