SHENTHOL SASANKAN M.D.
NPI 1477960516
Internal Medicine - Hematology & Oncology in Albuquerque, NM

Active since July 21, 2014PECOS EnrolledAccepts Medicare Assignment
94.3/100
CMS Quality Rating
MSC 11 6093 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-6225 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 7, 2022, May 7, 2021, Mar 26, 2021 and 1 more (4 updates tracked since 2018).

About Shenthol Sasankan M.d. NPPES

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

SHENTHOL SASANKAN M.D. (NPI 1477960516) is an individual hematology & oncology provider in Albuquerque, New Mexico, licensed in New Mexico (RS2018-0402) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and maintains a secondary practice location in Billings.

NPPES Registry Identity

NPI1477960516
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSHENTHOL SASANKANCredential: M.D.
Location AddressMSC 11 6093 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131
Mailing AddressMsc 11 6093 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-6225
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 21, 2014
Last NPPES UpdateFebruary 7, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2022
NPI 1477960516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in NM · RS2018-0402 Licensed in MT · MED-PHYS-LIC-89561 Licensed in WY · 13516A Licensed in ND · PT17306
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD461489 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT205909 (PA)
MSC 11 6093 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Secondary Practice Location 1

Location 1801 N 29th StBillings, MT 59101-0905 · Phone (406) 238-2500

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

Shenthol Sasankan 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 ID2466853940
PECOS Enrollment IDI20210622003678, I20250502001460
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 10

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 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.
328 services159 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.
202 services127 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.
116 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services36 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.
62 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
49 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Billings Clinic

Acute Care Hospitals · Billings, MT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270004
Location2800 10th Ave NBillings, MT 59101 · Yellowstone County
Emergency services Birthing friendly

Fallon Medical Complex Hospital

Critical Access Hospitals · Baker, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271301
Location202 S 4th St WBaker, MT 59313 · Fallon County
Emergency services

Pioneer Medical Center

Critical Access Hospitals · Big Timber, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271313
Location301 W 7th AveBig Timber, MT 59011 · Sweet Grass County
Emergency services

Livingston Healthcare

Critical Access Hospitals · Livingston, MT
3/5 CMS rating
OwnershipPhysician
CMS Certification Number271317
Location320 Alpenglow LaneLivingston, MT 59047 · Park County
Emergency services

Stillwater Billings Clinic

Critical Access Hospitals · Columbus, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271330
Location710 N 11th StColumbus, MT 59019 · Stillwater County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87131 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
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

94.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.58
Promoting Interoperability100
Improvement Activities40

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 Shenthol Sasankan's NPI number?

The NPI number for Shenthol Sasankan is 1477960516. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Shenthol Sasankan located?

Shenthol Sasankan practices at Msc 11 6093 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-6225.

What is Shenthol Sasankan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Shenthol Sasankan enrolled in Medicare?

Yes. Shenthol Sasankan 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 Shenthol Sasankan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Shenthol Sasankan 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 Shenthol Sasankan affiliated with any hospitals?

According to CMS data, Shenthol Sasankan is affiliated with Billings Clinic, Fallon Medical Complex Hospital, Pioneer Medical Center, Livingston Healthcare and Stillwater Billings Clinic.

When was this NPI record last updated?

The NPPES record for Shenthol Sasankan was last updated on February 7, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.