SANDEEP WALIA M.D
NPI 1669850871
Psychiatry & Neurology - Neurology in Washington, DC

Active since May 08, 2015PECOS Enrolled
80.36/100
CMS Quality Rating
3800 RESERVOIR RD NW DEPT OF, WASHINGTON, DC 20007(202) 444-8168(877) 303-1460 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sandeep Walia M.d NPPES

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

SANDEEP WALIA M.D (NPI 1669850871) is an individual neurology provider in Washington, District Of Columbia, licensed in California (A148853) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (2015).

NPPES Registry Identity

NPI1669850871
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSANDEEP WALIACredential: M.D
Location Address3800 RESERVOIR RD NW DEPT OFWashington, DC 20007-2113
Mailing Address3800 Reservoir Rd Nw Dept OfWashington, DC 20007-2113 · (202) 444-8168 · Fax (877) 303-1460
Fax(877) 303-1460
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 2015
Enumeration DateMay 8, 2015
Last NPPES UpdateJune 3, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1669850871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · A148853
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3800 RESERVOIR RD NW DEPT OF, Washington, DC 20007

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandeep Walia M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456769710
PECOS Enrollment IDI20210426002792
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

3

Medicare enrollment records show Sandeep Walia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
323 LENNON LN
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
Trauma Surgery
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 810 clinicians in this Medicare group
Personal Emergency Response Attendant
1601 YGNACIO VALLEY RD
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 8 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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
473 services209 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
339 services140 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.
261 services141 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.
153 services150 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.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20007 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.85
Improvement Activities40
Cost55.1

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
3800 RESERVOIR RD NW DEPT OF
WASHINGTON, DC 20007
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW DEPT OF
WASHINGTON, DC 20007
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW DEPT OF
WASHINGTON, DC 20007
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW DEPT OF
WASHINGTON, DC 20007
Internal Medicine
3800 RESERVOIR RD NW DEPT OF
WASHINGTON, DC 20007
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW DEPT OF
WASHINGTON, DC 20007
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW DEPT OF
WASHINGTON, DC 20007
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR RD NW DEPT OF, DEPARTMENT OF ANESTHESIOLOGY
WASHINGTON, DC 20007

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 1669850871. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Sandeep Walia located?

Sandeep Walia practices at 3800 Reservoir Rd NW Dept Of, Washington, DC 20007. The listed phone number is (202) 444-8168.

What is Sandeep Walia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Sandeep Walia enrolled in Medicare?

Yes. Sandeep Walia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sandeep Walia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Walia reassigns Medicare benefits to 3 organizations: Bay Area Neurointensivists Inc (Walnut Creek, CA), John Muir Trauma Physicians Billing Service (Walnut Creek, CA) and Moussa F Yazbeck MD Inc (Walnut Creek, CA). 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 Sandeep Walia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sandeep Walia was last updated on June 3, 2022. 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.