GURPRATAAP SANDHU
NPI 1902189293
Internal Medicine - Medical Oncology in Pittsburgh, PA

Q: What is Gurprataap Sandhu's NPI number?

The NPI number for Gurprataap Sandhu is 1902189293. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Q: What is Gurprataap Sandhu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Gurprataap Sandhu was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 22, 2011PECOS EnrolledAccepts Medicare Assignment

5115 CENTRE AVE FL 3, 3RD FLOOR, PITTSBURGH, PA 15232(412) 235-1020 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2021, Sep 23, 2021, Apr 6, 2021 and 1 more (4 updates tracked since 2020).

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About Gurprataap Sandhu NPPES

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

GURPRATAAP SANDHU (NPI 1902189293) is an individual medical oncology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD452202) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1902189293

Entity TypeIndividualMale

Primary Taxonomy207RX0202X

Provider Legal NameGURPRATAAP SANDHU

Location Address5115 CENTRE AVE FL 3, 3RD FLOORPittsburgh, PA 15232-1301

Mailing Address470 Johnson Rd Ste 10Washington, PA 15301-8944 · (724) 223-4079

Phone(412) 235-1020

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateSeptember 22, 2011

Last NPPES UpdateNovember 30, 20214 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ NPI 1902189293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in PA · MD452202

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

5115 CENTRE AVE FL 3, Pittsburgh, PA 15232

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Highmark Blue Cross Blue Shield West Virginia.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

Gurprataap Sandhu 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 ID8921225095

PECOS Enrollment IDI20140813001657, I20201207001041

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 8

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.

334 services112 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.

93 services35 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.

85 services80 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.

80 services69 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.

40 services32 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

37 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360211

Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County

Emergency services Birthing friendly

Washington Hospital, The

Acute Care Hospitals · Washington, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390042

Location155 Wilson AvenueWashington, PA 15301 · Washington County

Emergency services Birthing friendly

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390114

Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County

Emergency services Birthing friendly

Washington Health System Greene

Acute Care Hospitals · Waynesburg, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390150

Location350 Bonar AvenueWaynesburg, PA 15370 · Greene County

Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15232 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

JINGZHOU HOU

Internal Medicine (Hematology & Oncology)

5115 CENTRE AVE FL 3, THE HILLMAN CANCER CENTER
PITTSBURGH, PA 15232

Allegheny County (412) 235-1020

ANTOINE BEJJANI MD

Internal Medicine

5115 CENTRE AVE FL 3
PITTSBURGH, PA 15232

Allegheny County (412) 692-4888

MIKAELA NICOLE MONDSCHEIN PA-C

Physician Assistant

5115 CENTRE AVE FL 3
PITTSBURGH, PA 15232

Allegheny County (412) 647-2811

JOSEPH HELBLING

Physician Assistant

5115 CENTRE AVE FL 3, 3RD FLOOR
PITTSBURGH, PA 15232

Allegheny County (412) 235-1020

KATHRYN MARY VESSEL MD

Internal Medicine

5115 CENTRE AVE FL 3
PITTSBURGH, PA 15232

Allegheny County (412) 235-1020

GINA LOUISE LAMM PA-C

Internal Medicine (Hematology & Oncology)

5115 CENTRE AVE FL 3
PITTSBURGH, PA 15232

Allegheny County (412) 235-1020

ELISABETH L. PAIVA PA-C

Physician Assistant

5115 CENTRE AVE FL 3
PITTSBURGH, PA 15232

Allegheny County (412) 235-1020

JOHN RHEE

Internal Medicine (Hematology & Oncology)

5115 CENTRE AVE FL 3
PITTSBURGH, PA 15232

Allegheny County (412) 235-1020

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 Gurprataap Sandhu's NPI number?

The NPI number for Gurprataap Sandhu is 1902189293. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Where is Gurprataap Sandhu located?

Gurprataap Sandhu practices at 5115 Centre Ave Fl 3 3rd Floor, Pittsburgh, PA 15232. The listed phone number is (412) 235-1020.

What is Gurprataap Sandhu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Gurprataap Sandhu enrolled in Medicare?

Yes. Gurprataap Sandhu 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 Gurprataap Sandhu accept?

Health plans from Anthem Blue Cross and Blue Shield and Highmark Blue Cross Blue Shield West Virginia list Gurprataap Sandhu 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 Gurprataap Sandhu affiliated with any hospitals?

According to CMS data, Gurprataap Sandhu is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, Washington Hospital, The, Magee Womens Hospital Of Upmc Health System, Washington Health System Greene and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Gurprataap Sandhu was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.