DR. SATHYANARAYANA MACHANI MD
NPI 1912206020
Internal Medicine in Mckeesport, PA

Active since March 15, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1321 FIFTH AVE, INTERNAL MEDICINE, MCKEESPORT, PA 15132(412) 664-2782(412) 664-2784 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 4, 2024, Nov 6, 2024, Nov 21, 2017 (3 updates tracked since 2017).

About Dr. Sathyanarayana Machani Md NPPES

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

DR. SATHYANARAYANA MACHANI MD (NPI 1912206020) is an individual internal medicine provider in Mckeesport, Pennsylvania, licensed in Pennsylvania (MD487080) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912206020
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SATHYANARAYANA MACHANICredential: MD
Location Address1321 FIFTH AVE, INTERNAL MEDICINEMckeesport, PA 15132-2403
Mailing Address1321 Fifth Ave, Internal MedicineMckeesport, PA 15132-2403 · (412) 664-2782 · Fax (412) 664-2784
Fax(412) 664-2784
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 15, 2011
Last NPPES UpdateDecember 4, 20243 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1912206020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD487080✔ Licensed in WV · 26477✔ Licensed in ND · 12803
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RL11495 (ND)
1321 FIFTH AVE, Mckeesport, PA 15132

Secondary Practice Locations 2

Location 11321 Fifth Ave, Internal MedicineMcKeesport, PA 15132-2403 · Phone (412) 664-2782 · Fax (412) 664-2784
Location 240 Medical Park Ste 406Wheeling, WV 26003-6392 · Phone (304) 243-3330

Accepted 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

Dr. Sathyanarayana Machani 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 ID5294976205
PECOS Enrollment IDI20241113004781
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

3

Medicare enrollment records show Sathyanarayana Machani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1318 5TH AVE
Mckeesport, PA 15132
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
Internal Medicine
1789 S BRADDOCK AVE, SUITE 510
Pittsburgh, PA 15218
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
Family Medicine
2719 BRODHEAD RD
Aliquippa, PA 15001
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 217 clinicians in this Medicare group

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 5

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.
304 services111 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
133 services115 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.
119 services105 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.
19 services17 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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Heritage Valley Sewickley

Acute Care Hospitals · Sewickley, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390037
Location720 Blackburn RoadSewickley, PA 15143 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15132 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers40 claims41 services$16.75 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers41 claims42 services$87.00 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 2

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

Student in an Organized Health Care Education/Training Program
1321 FIFTH AVE
MCKEESPORT, PA 15132
Internal Medicine (Geriatric Medicine)
1321 FIFTH AVE
MCKEESPORT, PA 15132

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 Sathyanarayana Machani's NPI number?

The NPI number for Sathyanarayana Machani is 1912206020. It was assigned to this individual provider in the NPPES registry on March 15, 2011.

Where is Sathyanarayana Machani located?

Sathyanarayana Machani practices at 1321 Fifth Ave Internal Medicine, Mckeesport, PA 15132. The listed phone number is (412) 664-2782.

What is Sathyanarayana Machani's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sathyanarayana Machani enrolled in Medicare?

Yes. Sathyanarayana Machani 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 Sathyanarayana Machani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sathyanarayana Machani reassigns Medicare benefits to 3 organizations: Upmc Community Medicine Inc (Mckeesport, PA), University Of Pittsburgh Physicians (Pittsburgh, PA) and Heritage Valley Multispecialty Group, Inc. (Aliquippa, PA). 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 Sathyanarayana Machani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sathyanarayana Machani accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Sathyanarayana Machani 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 Sathyanarayana Machani affiliated with any hospitals?

According to CMS data, Sathyanarayana Machani is affiliated with Upmc Mckeesport Hospital, Heritage Valley Beaver and Heritage Valley Sewickley.

When was this NPI record last updated?

The NPPES record for Sathyanarayana Machani was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.