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DR. SANDEEP GANGADHARAN
NPI 1760458228
Pediatrics - Pediatric Critical Care Medicine in New York, NY

Active since February 24, 2006PECOS Enrolled
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRIC, 3959 BROADWAY, NEW YORK, NY 10032(212) 304-7250(212) 544-1974 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sandeep Gangadharan NPPES

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

DR. SANDEEP GANGADHARAN (NPI 1760458228) is an individual pediatric critical care medicine provider in New York, New York, licensed in New York (229274) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760458228
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. SANDEEP GANGADHARAN
Location AddressCOLUMBIA UNIVERSITY DEPARTMENT PEDIATRIC, 3959 BROADWAYNew York, NY 10032
Mailing Address2647 BroadwayNew York, NY 10025-5063 · (212) 961-1087
Phone(212) 304-7250
Fax(212) 544-1974
Sole ProprietorNo
Enumeration DateFebruary 24, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1760458228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in NY · 229274
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRIC, New York, NY 10032
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Other Identifiers 1

Medicaid02705168NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sandeep Gangadharan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Sandeep Gangadharan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai
2.6 mi
Pediatrics
500 7TH AVE FL 8
New York, NY 10018
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1538407176 (New York)
  • 345 clinicians in this Medicare group
NPI 1275802811 (212) 731-7895
Montefiore Medical Center
5.7 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNE GERSHON
Pediatrics (Pediatric Infectious Diseases)
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRIC, 3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 304-7297
DR. JAMES GARVIN
Pediatrics (Pediatric Hematology-Oncology)
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRIC, 3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 304-7250
DR. MARC FOCA
Pediatrics (Pediatric Infectious Diseases)
COLUMBIA UNIVERSITY DEPARTMENT PEDIATRIC, 3959 BROADWAY
NEW YORK, NY 10032
New York County (212) 304-7250

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 Gangadharan's NPI number?

The NPI number for Sandeep Gangadharan is 1760458228. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Sandeep Gangadharan located?

Sandeep Gangadharan practices at Columbia University Department Pediatric 3959 Broadway, New York, NY 10032. The listed phone number is (212) 304-7250.

What is Sandeep Gangadharan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Sandeep Gangadharan enrolled in Medicare?

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

Which organizations bill Medicare for Sandeep Gangadharan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandeep Gangadharan reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and Montefiore Medical Center (New York, NY). 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 Gangadharan'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 Gangadharan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.