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AMIT SANYAL MD
NPI 1831187707
Internal Medicine - Hematology in Sanford, ME

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
27 INDUSTRIAL AVE STE 101, SANFORD, ME 04073(207) 459-1666(207) 661-8537 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2026, Jan 26, 2026, Mar 6, 2024 and 2 more (5 updates tracked since 2020).

About Amit Sanyal Md NPPES

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

AMIT SANYAL MD (NPI 1831187707) is an individual hematology provider in Sanford, Maine, licensed in New Jersey (25IA12858400) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1831187707
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameAMIT SANYALCredential: MD
Location Address27 INDUSTRIAL AVE STE 101Sanford, ME 04073-5846
Mailing Address27 Industrial Ave Ste 101Sanford, ME 04073-5846 · (207) 459-1666 · Fax (207) 661-8537
Phone(207) 459-1666
Fax(207) 661-8537
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 13, 2005
Last NPPES UpdateFebruary 2, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
✔ NPI 1831187707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
Licenses✔ Licensed in NJ · 25IA12858400✔ Licensed in NH · 25075✔ Licensed in ME · MD25646
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 25075 (NH), 25IA12858400 (NJ)
27 INDUSTRIAL AVE STE 101, Sanford, ME 04073
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1159 Main StNorway, ME 04268-5638 · Phone (207) 743-2945 · Fax (207) 743-2751
Location 2265 Western Ave Ste 2South Portland, ME 04106-2458 · Phone (207) 661-0200 · Fax (207) 661-0299
Location 33073 White Mountain HwyNorth Conway, NH 03860-7101 · Phone (603) 356-4904

Other Identifiers 2

OtherMD25646ME · License
Other25075NH · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Amit Sanyal 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 ID6103821103
PECOS Enrollment IDI20220426001944, I20260112001488
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 Amit Sanyal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mainehealth
12 mi
Multi-Specialty
1 MEDICAL CENTER DR
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • 3,140 clinicians in this Medicare group
NPI 1215417019 (207) 283-7000
Maine Medical Partners
24 mi
Surgery
92 CAMPUS DRIVE, 3RD FLOOR
Scarborough, ME 04074
  • Reassigned Medicare billing, Maine enrollment
  • 264 clinicians in this Medicare group
NPI 1346687167 (207) 774-6368
Memorial Hospital
50 mi
Critical Access
3073 WHITE MOUNTAIN HWY
North Conway, NH 03860
  • Reassigned Medicare billing, New Hampshire enrollment
  • 173 clinicians in this Medicare group
NPI 1700864709 (603) 356-5461
Barnabas Health Medical Group PC
262 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123

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 4

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 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.
145 services59 patients
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.
25 services21 patients
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.
25 services17 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.
17 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04073 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
34%168 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%260 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
27%289 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
61%135 patients3/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 4

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

NICOLE M BATTY MD
Internal Medicine (Hematology & Oncology)
27 INDUSTRIAL AVE STE 101
SANFORD, ME 04073
York County (207) 459-1666
JENNA JAUNICH PA-C
Physician Assistant
27 INDUSTRIAL AVE STE 101
SANFORD, ME 04073
York County (207) 459-1666
REBECCA L EISENBERG M.D.
Internal Medicine (Medical Oncology)
27 INDUSTRIAL AVE STE 101
SANFORD, ME 04073
York County (207) 294-5800
ALLISON W ALLEN PA
Physician Assistant (Medical)
27 INDUSTRIAL AVE STE 101
SANFORD, ME 04073
York County (207) 459-1666

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 Amit Sanyal's NPI number?

The NPI number for Amit Sanyal is 1831187707. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Amit Sanyal located?

Amit Sanyal practices at 27 Industrial Ave Ste 101, Sanford, ME 04073. The listed phone number is (207) 459-1666.

What is Amit Sanyal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Amit Sanyal enrolled in Medicare?

Yes. Amit Sanyal 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 Amit Sanyal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amit Sanyal reassigns Medicare benefits to 4 organizations: Mainehealth (Biddeford, ME), Maine Medical Partners (Scarborough, ME), Memorial Hospital (North Conway, NH) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Amit Sanyal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amit Sanyal accept?

Health plans from Oscar Health list Amit Sanyal 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 Amit Sanyal affiliated with any hospitals?

According to CMS data, Amit Sanyal is affiliated with Maine Medical Center, Community Medical Center, Monmouth Medical Center and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Amit Sanyal was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.