DR. SANDEEP GHAI M.D.
NPI 1720249626
Internal Medicine - Nephrology in Boston, MA

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
725 ALBANY ST, SHAPIRO 7, SUITE A, BOSTON, MA 02118(617) 414-8601(617) 414-8664 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sandeep Ghai M.d. NPPES

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

DR. SANDEEP GHAI M.D. (NPI 1720249626) is an individual nephrology provider in Boston, Massachusetts, licensed in Massachusetts (247463) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Wayne State University School Of Medicine (2006).

NPPES Registry Identity

NPI1720249626
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. SANDEEP GHAICredential: M.D.
Location Address725 ALBANY ST, SHAPIRO 7, SUITE ABoston, MA 02118-2526
Mailing Address720 Harrison Ave, Dob 503Boston, MA 02118
Fax(617) 414-8664
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2006
Enumeration DateJune 23, 2008
Last NPPES UpdateMay 29, 2014
NPI 1720249626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MA · 247463
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 229785 (MA)
725 ALBANY ST, Boston, MA 02118

Other Identifiers 2

Medicaid110088957AMA
Medicare PIN002189801MA

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. Sandeep Ghai 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 ID5890973168
PECOS Enrollment IDI20110711000435
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 7

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 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.
245 services94 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.
122 services47 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.
114 services110 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.
107 services106 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.
39 services30 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.
28 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Emerson Hospital -

Acute Care Hospitals · W Concord, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220084
Location133 Old Road To 9 Acre CornerW Concord, MA 01742 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers56 claims2,482 services$2.37 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
3 suppliers88 claims33,207 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers294 claims40,297 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers171 claims23,610 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims2,700 services$0.59 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers70 claims8,054 services$0.19 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.

Nurse Practitioner (Family)
725 ALBANY ST, SHAPIRO 3, SUITE A
BOSTON, MA 02118
Internal Medicine (Pulmonary Disease)
725 ALBANY ST, SHAPIRO 9, SUITE B
BOSTON, MA 02118
Obstetrics & Gynecology
725 ALBANY ST
BOSTON, MA 02118
Internal Medicine
725 ALBANY ST, SHAPIRO 5, SUITE A
BOSTON, MA 02118
Psychiatry & Neurology (Neurology)
725 ALBANY ST, SHAPIRO 7, SUITE B
BOSTON, MA 02118
Dermatology
725 ALBANY ST, SHAPIRO 8
BOSTON, MA 02118
Nurse Practitioner (Acute Care)
725 ALBANY ST, SHAPIRO 4, SUITE B
BOSTON, MA 02118
Internal Medicine (Cardiovascular Disease)
725 ALBANY ST, SUITE 7B, SHAPIRO BLDG
BOSTON, MA 02118

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 Ghai's NPI number?

The NPI number for Sandeep Ghai is 1720249626. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Sandeep Ghai located?

Sandeep Ghai practices at 725 Albany St Shapiro 7, Suite A, Boston, MA 02118. The listed phone number is (617) 414-8601.

What is Sandeep Ghai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Sandeep Ghai enrolled in Medicare?

Yes. Sandeep Ghai 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 Ghai accept?

Health plans from Anthem Blue Cross and Blue Shield list Sandeep Ghai 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 Ghai affiliated with any hospitals?

According to CMS data, Sandeep Ghai is affiliated with Boston Medical Center and Emerson Hospital -.

When was this NPI record last updated?

The NPPES record for Sandeep Ghai was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.