DR. SANJAY BINDRA MD
NPI 1528080256
Internal Medicine - Clinical Cardiac Electrophysiology in San Mateo, CA

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment
222 W 39TH AVE, SAN MATEO, CA 94403(650) 573-2222 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 21, 2020, Sep 18, 2019, Mar 2, 2019 (3 updates tracked since 2019).

About Dr. Sanjay Bindra Md NPPES

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

DR. SANJAY BINDRA MD (NPI 1528080256) is an individual clinical cardiac electrophysiology provider in San Mateo, California, licensed in California (A72359) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528080256
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. SANJAY BINDRACredential: MD
Location Address222 W 39TH AVESan Mateo, CA 94403-4364
Mailing Address177 Telles LnFremont, CA 94539-5406 · (310) 367-5954
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 24, 2006
Last NPPES UpdateSeptember 21, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2020
✔ NPI 1528080256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License✔ Licensed in CA · A72359
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License A72359 (CA)
222 W 39TH AVE, San Mateo, CA 94403

Secondary Practice Locations 2

Location 11001 E Superior St Ste L201Duluth, MN 55802-2207 · Phone (218) 249-3057 · Fax (218) 249-3091
Location 21300 S Columbia RdGrand Forks, ND 58201-4012 · Phone (701) 780-2300

Other Identifiers 2

OtherP00331265CA · Railroad Medicare
Other953511288CA · Tax Id

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanjay Bindra 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 ID6709807019
PECOS Enrollment IDI20161117001294, I20180406001862
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Sanjay Bindra reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
222 W 39TH AVE
San Mateo, CA 94403
  • Reassigned Medicare billing, California enrollment
  • 597 clinicians in this Medicare group
Internal Medicine
27206 CALAROGA AVE, SUITE 205
Hayward, CA 94545
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: California Cardiovascular Consultants
  • 47 clinicians in this Medicare group
General Acute Care Hospital
2000 MOWRY AVE
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • 68 clinicians in this Medicare group
Clinic/Center
1300 S COLUMBIA RD
Grand Forks, ND 58201
  • Reassigned Medicare billing, Minnesota and North Dakota enrollments
  • 193 clinicians in this Medicare group
Multi-Specialty
1542 GOLF COURSE RD STE 204
Grand Rapids, MN 55744
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
Rural Health
1120 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 513 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
327 services272 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
93 services93 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
34 services34 patients
Insertion of heart rhythm monitor under skin 33285
The insertion of a heart rhythm monitor under the skin is a procedure to track your heart's activity. A small device is placed under your skin, recording your heart's rhythms continuously. This helps identify irregular heartbeats or conditions, aiding in your treatment.
14 services14 patients
Insertion of pacemaker and upper and lower heart chamber electrode 33208
A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.
13 services13 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94403 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.

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.

Psychologist (Clinical)
222 W 39TH AVE
SAN MATEO, CA 94403
General Acute Care Hospital
222 W 39TH AVE
SAN MATEO, CA 94403
Dermatology
222 W 39TH AVE
SAN MATEO, CA 94403
Clinic/Center
222 W 39TH AVE
SAN MATEO, CA 94403
Obstetrics & Gynecology
222 W 39TH AVE
SAN MATEO, CA 94403
Counselor
222 W 39TH AVE
SAN MATEO, CA 94403
Physical Medicine & Rehabilitation
222 W 39TH AVE
SAN MATEO, CA 94403
Registered Nurse
222 W 39TH AVE
SAN MATEO, CA 94403

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 Sanjay Bindra's NPI number?

The NPI number for Sanjay Bindra is 1528080256. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Sanjay Bindra located?

Sanjay Bindra practices at 222 W 39th Ave, San Mateo, CA 94403. The listed phone number is (650) 573-2222.

What is Sanjay Bindra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Sanjay Bindra enrolled in Medicare?

Yes. Sanjay Bindra 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.

Which organizations bill Medicare for Sanjay Bindra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Bindra reassigns Medicare benefits to 6 organizations: County Of San Mateo (San Mateo, CA), California Cardiovascular Consultants Medical Associates (Hayward, CA), Washington Township Hospital District (Fremont, CA), Altru Health System (Grand Forks, ND), The Duluth Clinic Ltd (Grand Rapids, MN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanjay Bindra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Bindra accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Sanjay Bindra 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 Sanjay Bindra affiliated with any hospitals?

According to CMS data, Sanjay Bindra is affiliated with St Lukes Hospital and Altru Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Bindra was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.