DR. SANDEEP KUMAR WALIA M.D.
NPI 1467763607
Internal Medicine - Gastroenterology in Belleville, IL

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4550 MEMORIAL DR STE 280, BELLEVILLE, IL 62226(618) 767-3235 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2025, Sep 27, 2024, Aug 7, 2024 and 2 more (5 updates tracked since 2021).

About Dr. Sandeep Kumar Walia M.d. NPPES

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

DR. SANDEEP KUMAR WALIA M.D. (NPI 1467763607) is an individual gastroenterology provider in Belleville, Illinois, licensed in Illinois (036171354) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and maintains a secondary practice location in Belleville.

NPPES Registry Identity

NPI1467763607
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SANDEEP KUMAR WALIACredential: M.D.
Location Address4550 MEMORIAL DR STE 280Belleville, IL 62226-5372
Mailing Address660 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8512 · (314) 448-3791 · Fax (314) 996-7658
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateSeptember 19, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1467763607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in IL · 036171354 Licensed in MI · 4301096843
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301096843 (MI)
4550 MEMORIAL DR STE 280, Belleville, IL 62226

Secondary Practice Location 1

Location 14550 Memorial Dr Ste 260Belleville, IL 62226-5372 · Phone (618) 767-3235 · Fax (618) 624-4992

Accepted 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

Dr. Sandeep Kumar Walia 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 ID2264665751
PECOS Enrollment IDI20240826002596
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 11

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
59 services59 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
53 services52 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
47 services44 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
25 services25 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
25 services25 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Plastic Surgery
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Internal Medicine (Nephrology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Nurse Practitioner (Acute Care)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Nurse Practitioner
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Internal Medicine (Nephrology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226
Internal Medicine (Nephrology)
4550 MEMORIAL DR STE 280
BELLEVILLE, IL 62226

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 Sandeep Walia's NPI number?

The NPI number for Sandeep Walia is 1467763607. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Sandeep Walia located?

Sandeep Walia practices at 4550 Memorial Dr Ste 280, Belleville, IL 62226. The listed phone number is (618) 767-3235.

What is Sandeep Walia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sandeep Walia enrolled in Medicare?

Yes. Sandeep Walia 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 Sandeep Walia accept?

Health plans from McLaren Health Plan Community list Sandeep Walia 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.

Is Sandeep Walia affiliated with any hospitals?

According to CMS data, Sandeep Walia is affiliated with Memorial Hospital and Barnes Jewish Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Walia was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.