DR. SAPNA KHUBCHANDANI M.D.
NPI 1609016534
Internal Medicine - Medical Oncology in Bristol, CT

Q: What is Sapna Khubchandani's NPI number?

The NPI number for Sapna Khubchandani is 1609016534. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Q: What is Sapna Khubchandani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Active since March 05, 2009PECOS EnrolledAccepts Medicare Assignment

92.22/100

CMS Quality Rating

41 BREWSTER RD, BRISTOL, CT 06010(860) 585-3000(860) 585-3907 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Sapna Khubchandani M.d. NPPES

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

DR. SAPNA KHUBCHANDANI M.D. (NPI 1609016534) is an individual medical oncology provider in Bristol, Connecticut, licensed in New York (247607) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1609016534

Entity TypeIndividualFemale

Primary Taxonomy207RX0202X

Provider Legal NameDR. SAPNA KHUBCHANDANICredential: M.D.

Location Address41 BREWSTER RDBristol, CT 06010-5161

Mailing AddressPo Box 2828Bristol, CT 06011-2828 · (860) 585-3906 · Fax (858) 585-3907

Phone(860) 585-3000

Fax(860) 585-3907

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateMarch 5, 2009

✔ NPI 1609016534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in NY · 247607

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

41 BREWSTER RD, Bristol, CT 06010

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Sapna Khubchandani 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 ID3779621487

PECOS Enrollment IDI20091117000186

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

Medicare enrollment records show Sapna Khubchandani reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Windham Community Memorial Hospital, Inc.

9.1 mi

General Acute Care Hospital

112 MANSFIELD AVE
Willimantic, CT 06226

Reassigned Medicare billing, Connecticut enrollment
302 clinicians in this Medicare group

NPI 1023191467 (860) 456-6752

Hartford Healthcare Medical Group Specialists, PLLC

14 mi

Surgery

85 SEYMOUR ST STE 415
Hartford, CT 06106

Reassigned Medicare billing, Connecticut enrollment
1,921 clinicians in this Medicare group

NPI 1023584216 (860) 246-2071

Hartford Healthcare Medical Group, Inc

15 mi

Surgery

1290 SILAS DEANE HWY, ATTN: LINDA STRAKA
Wethersfield, CT 06109

Reassigned Medicare billing, Connecticut enrollment
747 clinicians in this Medicare group

NPI 1043561301 (860) 972-9033

William W Backus Hospital

45 mi

Psychiatric Unit

326 WASHINGTON ST
Norwich, CT 06360

Reassigned Medicare billing, Connecticut enrollment
430 clinicians in this Medicare group

NPI 1730243536 (860) 889-8331

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 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.

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.

181 services102 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

169 services113 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

133 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

88 services59 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

24 services24 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.

22 services22 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.

20 services16 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.

19 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

18 services17 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06010 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

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

92.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

92.15

Promoting Interoperability

100

Improvement Activities

Cost

58.82

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.

JESSICA LAUREN RICHARDSON RD

Dietitian, Registered