SANJU PADIYEDATHU ITTAN FNP-BC
NPI 1457750200
Nurse Practitioner - Family in Bronx, NY
About Sanju Padiyedathu Ittan Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANJU PADIYEDATHU ITTAN FNP-BC (NPI 1457750200) is an individual family provider in Bronx, New York, licensed in New York (F338336) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sanju Padiyedathu Ittan Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Montefiore Medical Center
Acute Care Hospitals · Bronx, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
BRONX, NY 10461
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 Sanju Ittan's NPI number?
The NPI number for Sanju Ittan is 1457750200. It was assigned to this individual provider in the NPPES registry on August 18, 2014.
Where is Sanju Ittan located?
Sanju Ittan practices at 1825 Eastchester Rd, Bronx, NY 10461. The listed phone number is (845) 709-0173.
What is Sanju Ittan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sanju Ittan enrolled in Medicare?
Yes. Sanju Ittan is registered in the Medicare PECOS enrollment system.
Is Sanju Ittan affiliated with any hospitals?
According to CMS data, Sanju Ittan is affiliated with Montefiore Medical Center.
When was this NPI record last updated?
The NPPES record for Sanju Ittan was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Sanju Padiyedathu Ittan, FNP-BC · NPI 1457750200
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since August 18, 2014.
## Identity
- **NPI:** 1457750200 (Entity type: Individual)
- **Enumerated:** August 18, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F338336 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 EASTCHESTER RD, Bronx, NY 10461-2301
- **Phone:** (845) 709-0173
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 18, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1457750200) · Data from the CMS NPPES public registry.