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SANDEEP BHATTARAI MD
NPI 1679079412
Internal Medicine in Harrisburg, PA

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
89.36/100
CMS Quality Rating
205 SOUTH FRONT STREET, BRADY BUILDING SUITE 3C, HARRISBURG, PA 17104(717) 231-8532 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2021, Jan 19, 2021 (2 updates tracked since 2021).

About Sandeep Bhattarai Md NPPES

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

SANDEEP BHATTARAI MD (NPI 1679079412) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in New Hampshire (21206) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679079412
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANDEEP BHATTARAICredential: MD
Location Address205 SOUTH FRONT STREET, BRADY BUILDING SUITE 3CHarrisburg, PA 17104
Mailing Address80 Highland StLaconia, NH 03246-3235 · (603) 524-3211
Phone(717) 231-8532
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 2, 2018
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1679079412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NH · 21206
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
205 SOUTH FRONT STREET, Harrisburg, PA 17104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families.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

Sandeep Bhattarai 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 ID7810248952
PECOS Enrollment IDI20251002005099
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 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
320 services128 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.
275 services148 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
124 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
59 services57 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
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17104 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

89.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier47 claims47 services$22.49 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier19 claims19 services$8.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers49 claims49 services$116.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. ELENA YURIEVNA NEBRAT
Nurse Practitioner (Acute Care)
205 SOUTH FRONT STREET, 4TH FLOOR, BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8555
REBECCA CLONINGER PA-C
Physician Assistant (Surgical)
205 SOUTH FRONT STREET, 6TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 988-9370
MARIA AHMAD D.O.
Student in an Organized Health Care Education/Training Program
205 SOUTH FRONT STREET, BRADY 916
HARRISBURG, PA 17104
Dauphin County (717) 231-8755
LINDSEY G ROMBERGER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
205 SOUTH FRONT STREET, 5TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8360
ISABELLE ANN ZITTO PA-C
Physician Assistant
205 SOUTH FRONT STREET, 4TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 731-0101
MR. ANHAD SINGH BHULLAR MD
Student in an Organized Health Care Education/Training Program
205 SOUTH FRONT STREET, BRADY 916
HARRISBURG, PA 17104
Dauphin County (717) 231-8755
PATRICK MCGUIRE MD
Emergency Medicine
205 SOUTH FRONT STREET, BRADY 3
HARRISBURG, PA 17104
Dauphin County (253) 344-8284
RICHARD T. MILLER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
205 SOUTH FRONT STREET, 4TH FLOOR, BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8555

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 Bhattarai's NPI number?

The NPI number for Sandeep Bhattarai is 1679079412. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Sandeep Bhattarai located?

Sandeep Bhattarai practices at 205 South Front Street Brady Building Suite 3C, Harrisburg, PA 17104. The listed phone number is (717) 231-8532.

What is Sandeep Bhattarai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sandeep Bhattarai enrolled in Medicare?

Yes. Sandeep Bhattarai 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 Sandeep Bhattarai accept?

Health plans from Ambetter from NH Healthy Families list Sandeep Bhattarai 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.

When was this NPI record last updated?

The NPPES record for Sandeep Bhattarai was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.