DR. NETANYA SANDLER UTAY MD
NPI 1497028195
Internal Medicine - Infectious Disease in Dallas, TX

Active since February 12, 2012PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5200 HARRY HINES BLVD, DALLAS, TX 75235(214) 590-8000 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, Oct 23, 2018, Apr 19, 2017 (3 updates tracked since 2017).

About Dr. Netanya Sandler Utay Md NPPES

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

DR. NETANYA SANDLER UTAY MD (NPI 1497028195) is an individual infectious disease provider in Dallas, Texas, licensed in Texas (Q3607) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Baylor College Of Medicine (2003).

NPPES Registry Identity

NPI1497028195
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. NETANYA SANDLER UTAYCredential: MD
Location Address5200 HARRY HINES BLVDDallas, TX 75235-7709
Mailing AddressPo Box 845347Dallas, TX 75284-7208
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2003
Enumeration DateFebruary 12, 2012
Last NPPES UpdateAugust 24, 20213 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
NPI 1497028195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in TX · Q3607
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
5200 HARRY HINES BLVD, Dallas, TX 75235

Other Names 1

Professional Name (2)Dr. Netanya Golda Sandler M.d.

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. Netanya Sandler Utay 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 ID345487658
PECOS Enrollment IDI20130506000056
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 2

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.
23 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

Urology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5200 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Cardiovascular Disease)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Anesthesiology
5200 HARRY HINES BLVD
DALLAS, TX 75235
Internal Medicine (Medical Oncology)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Surgery
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Practitioner (Family)
5200 HARRY HINES BLVD
DALLAS, TX 75235
Nurse Anesthetist, Certified Registered
5200 HARRY HINES BLVD
DALLAS, TX 75235

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 Netanya Utay's NPI number?

The NPI number for Netanya Utay is 1497028195. It was assigned to this individual provider in the NPPES registry on February 12, 2012. The provider is also known as Dr. Netanya Golda Sandler M.D..

Where is Netanya Utay located?

Netanya Utay practices at 5200 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 590-8000.

What is Netanya Utay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Netanya Utay enrolled in Medicare?

Yes. Netanya Utay 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 Netanya Utay accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Netanya Utay 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 Netanya Utay affiliated with any hospitals?

According to CMS data, Netanya Utay is affiliated with Parkland Health & Hospital System and Ut Southwestern University Hospital - William P. Clements Jr..

When was this NPI record last updated?

The NPPES record for Netanya Utay was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.