DR. SANDIP K ZALAWADIYA MD
NPI 1710115159
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Nashville, TN

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment
1215 21ST AVE S RM 5209, NASHVILLE, TN 37232(615) 343-3735 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 3, 2026, Oct 19, 2020, Nov 19, 2019 (3 updates tracked since 2019).

About Dr. Sandip K Zalawadiya Md NPPES

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

DR. SANDIP K ZALAWADIYA MD (NPI 1710115159) is an individual advanced heart failure and transplant cardiology provider in Nashville, Tennessee, licensed in Tennessee (51546) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1710115159
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. SANDIP K ZALAWADIYACredential: MD
Location Address1215 21ST AVE S RM 5209Nashville, TN 37232-2600
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 24, 2009
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
NPI 1710115159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in TN · 51546
Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301092211 (MI)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 4301092211 (MI), 51546 (TN)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 4301092211 (MI)
1215 21ST AVE S RM 5209, Nashville, TN 37232

Other Identifiers 1

MedicaidQ024321TN

Accepted 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

Dr. Sandip K Zalawadiya 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 ID1951619444
PECOS Enrollment IDI20160718001373
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
144 services114 patients
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.
113 services36 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.
82 services27 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.
21 services20 patients
Biopsy of heart muscle 93505
A biopsy of the heart muscle is a procedure where a small piece of heart tissue is taken for examination. This helps doctors identify heart diseases or abnormalities. The procedure involves inserting a thin tube through a vein and into the heart, under local anesthesia.
17 services14 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Sandip Zalawadiya's NPI number?

The NPI number for Sandip Zalawadiya is 1710115159. It was assigned to this individual provider in the NPPES registry on June 24, 2009.

Where is Sandip Zalawadiya located?

Sandip Zalawadiya practices at 1215 21st Ave S Rm 5209, Nashville, TN 37232. The listed phone number is (615) 343-3735.

What is Sandip Zalawadiya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Sandip Zalawadiya enrolled in Medicare?

Yes. Sandip Zalawadiya 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 Sandip Zalawadiya accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Sandip Zalawadiya 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 Sandip Zalawadiya affiliated with any hospitals?

According to CMS data, Sandip Zalawadiya is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for Sandip Zalawadiya was last updated on June 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.