SANDHYA ASHOKKUMAR MD
NPI 1457913402
Internal Medicine - Critical Care Medicine in Castro Valley, CA

Active since June 30, 2019PECOS EnrolledAccepts Medicare Assignment
98.91/100
CMS Quality Rating
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546(831) 241-1955 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Oct 16, 2023, Oct 5, 2022 (3 updates tracked since 2022).

About Sandhya Ashokkumar Md NPPES

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

SANDHYA ASHOKKUMAR MD (NPI 1457913402) is an individual critical care medicine provider in Castro Valley, California, licensed in California (193144) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2019).

NPPES Registry Identity

NPI1457913402
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameSANDHYA ASHOKKUMARCredential: MD
Location Address20103 LAKE CHABOT RDCastro Valley, CA 94546-5305
Mailing Address20103 Lake Chabot RdCastro Valley, CA 94546-5305 · (831) 241-1955
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2019
Enumeration DateJune 30, 2019
Last NPPES UpdateSeptember 24, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1457913402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in CA · 193144
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 25MA11548300 (NJ)
20103 LAKE CHABOT RD, Castro Valley, CA 94546

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

Sandhya Ashokkumar 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 ID6406230572
PECOS Enrollment IDI20241017003085
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94546 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

98.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.01
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Registered Nurse
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Internal Medicine
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Hospitalist
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Pharmacist (Ambulatory Care)
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Emergency Medicine
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Internal Medicine
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546
Physician Assistant
20103 LAKE CHABOT RD
CASTRO VALLEY, CA 94546

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 Ashokkumar's NPI number?

The NPI number for Sandhya Ashokkumar is 1457913402. It was assigned to this individual provider in the NPPES registry on June 30, 2019.

Where is Sandhya Ashokkumar located?

Sandhya Ashokkumar practices at 20103 Lake Chabot Rd, Castro Valley, CA 94546. The listed phone number is (831) 241-1955.

What is Sandhya Ashokkumar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Sandhya Ashokkumar enrolled in Medicare?

Yes. Sandhya Ashokkumar 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 Sandhya Ashokkumar was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.