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SUNDARESAN T SAMBANDAM M.D.
NPI 1811971922
Internal Medicine - Hematology & Oncology in Cranston, RI

Active since December 01, 2005PECOS Enrolled
1220 PONTIAC AVE, SUITE 101, CRANSTON, RI 02920(401) 943-4660(401) 943-0240 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 15, 2024, Jul 12, 2024 (2 updates tracked since 2024).

About Sundaresan T Sambandam M.d. NPPES

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

SUNDARESAN T SAMBANDAM M.D. (NPI 1811971922) is an individual hematology & oncology provider in Cranston, Rhode Island, licensed in Rhode Island (05372) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811971922
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSUNDARESAN T SAMBANDAMCredential: M.D.
Location Address1220 PONTIAC AVE, SUITE 101Cranston, RI 02920-4456
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 943-4660
Fax(401) 943-0240
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
✔ NPI 1811971922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in RI · 05372
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1220 PONTIAC AVE, Cranston, RI 02920
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Other Identifiers 12

Other001994RI · Bluechip/ribcbs
Other005372Tufts Hp
Other720024001Cigna
OtherRI0007390Tricare
Other0513005Us Healthcare
Other0000002589RI · Bc/bs Of Ri
Other30-00050RI · Uhc Of Ne,inc
Other4549333Aetna
Medicaid0173690MA
Medicaid7003434RI
Other2376RI · Neighborhood Heath Plan
Other9475RIHHarvard Pilgrim Hp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sundaresan T Sambandam M.d. 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.

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.
375 services194 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.
42 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%563 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,553 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
24%211 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%130 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%459 patients5/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%2,121 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%1,060 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 93% · 604 patients
Patients tobacco: 30% · 99 patients
82%604 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
1%1,060 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,060 patients1/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 661 patients
1%661 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier13 claims53 services$16.54 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims3,640 services$11.69 avg. paid by Medicare
Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg J1569
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier16 claims960 services$35.54 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims728 services$0.67 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
1 supplier13 claims52 services$2.37 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
2 suppliers18 claims35 services$29.12 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 11

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

THOMAS DAVID PULEO, MD, LLC
Pediatrics
1220 PONTIAC AVE, SUITE 302
CRANSTON, RI 02920
Providence County (401) 944-4411
MARK S ROBBINS MD
Internal Medicine (Hematology & Oncology)
1220 PONTIAC AVE, SUITE 101
CRANSTON, RI 02920
Providence County (401) 943-4660
HEMATOLOGY & ONCOLOGY ASSOCIATES OF RHODE ISLAND, INC.
Internal Medicine (Hematology & Oncology)
1220 PONTIAC AVE, 101
CRANSTON, RI 02920
Providence County (401) 943-4660
DR. RONALD P SNIDERMAN DMD
Dentist
1220 PONTIAC AVE, SUITE 201
CRANSTON, RI 02920
Providence County (401) 464-4540
DR. GREGORY FRANK PEZZA DMD, MSD
Dentist (Orthodontics and Dentofacial Orthopedics)
1220 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 943-4111
MS. PATRICIA M. WAY A.N.P
Nurse Practitioner (Adult Health)
1220 PONTIAC AVE, SUITE 101
CRANSTON, RI 02920
Providence County (401) 942-4660
SUSAN KAREN HOBIN APRN CNP
Internal Medicine (Hematology & Oncology)
1220 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 943-4660
PEZZA ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
1220 PONTIAC AVE
CRANSTON, RI 02920
Providence County (401) 943-4111

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 Sundaresan Sambandam's NPI number?

The NPI number for Sundaresan Sambandam is 1811971922. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Sundaresan Sambandam located?

Sundaresan Sambandam practices at 1220 Pontiac Ave Suite 101, Cranston, RI 02920. The listed phone number is (401) 943-4660.

What is Sundaresan Sambandam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sundaresan Sambandam enrolled in Medicare?

Yes. Sundaresan Sambandam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sundaresan Sambandam was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.