DR. SANDEEP KATHJU MD, PHD
NPI 1700887767
Otolaryngology in Pittsburgh, PA

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
320 E NORTH AVE, AGH SURGERY, PITTSBURGH, PA 15212(412) 359-6800(412) 359-4721 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sandeep Kathju Md, Phd NPPES

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

DR. SANDEEP KATHJU MD, PHD (NPI 1700887767) is an individual otolaryngology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD417702) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Weirton Medical Center, Inc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1700887767
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. SANDEEP KATHJUCredential: MD, PHD
Location Address320 E NORTH AVE, AGH SURGERYPittsburgh, PA 15212-4756
Mailing Address320 E North Ave, Agh SurgeryPittsburgh, PA 15212-4756 · (412) 359-6800 · Fax (412) 359-4721
Fax(412) 359-4721
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 2, 2005
Last NPPES UpdateApril 23, 2008
✔ NPI 1700887767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD417702
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedPlastic SurgeryTaxonomy 208200000X · License MD417702 (PA)
320 E NORTH AVE, Pittsburgh, PA 15212

Other Identifiers 7

Medicare UPINH54797PA
Medicaid2280642OH
Medicare PIN240007573PA
Medicaid0018669400002PA
Medicaid0018669400001PA
Medicaid2007599000WV
Medicare PIN054729NJ8PA

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. Sandeep Kathju Md, Phd 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 ID8224173182
PECOS Enrollment IDI20100303000157, I20210927002972
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

4

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

Pediatrics
4401 PENN AVE
Pittsburgh, PA 15224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Internal Medicine
560 STEUBENVILLE PIKE
Burgettstown, PA 15021
  • Reassigned Medicare billing, West Virginia enrollment
  • 131 clinicians in this Medicare group
Family Medicine
1006 COMMERCE ST
Wellsburg, WV 26070
  • Reassigned Medicare billing, West Virginia enrollment
  • 502 clinicians in this Medicare group
Family Medicine
200 W MAIN ST
Ligonier, PA 15658
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 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 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 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.
39 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510050
Location1 Medical ParkWheeling, WV 26003 · Ohio County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Emergency Medicine
320 E NORTH AVE, EMERGENCY MEDICINE RESIDENCY OFFICE
PITTSBURGH, PA 15212
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Emergency Medicine (Medical Toxicology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212

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 Kathju's NPI number?

The NPI number for Sandeep Kathju is 1700887767. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Sandeep Kathju located?

Sandeep Kathju practices at 320 E North Ave Agh Surgery, Pittsburgh, PA 15212. The listed phone number is (412) 359-6800.

What is Sandeep Kathju's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sandeep Kathju enrolled in Medicare?

Yes. Sandeep Kathju 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 Sandeep Kathju's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Kathju reassigns Medicare benefits to 4 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Wmc Physician Practices LLC (Burgettstown, PA), Wheeling Hospital, Inc. (Wellsburg, WV) and Dlp Conemaugh Physician Practices LLC (Ligonier, PA). 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 Kathju's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandeep Kathju accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 4 other insurers list Sandeep Kathju 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 Sandeep Kathju affiliated with any hospitals?

According to CMS data, Sandeep Kathju is affiliated with Weirton Medical Center, Inc and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Sandeep Kathju was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.