KARINA SANCHEZ M.D.
NPI 1922458801
Surgery in Johnstown, PA
About Karina Sanchez M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARINA SANCHEZ M.D. (NPI 1922458801) is an individual surgery provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MT211623) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Karina Sanchez M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Karina Sanchez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Monterey Park, CA 91754
- Reassigned Medicare billing, California enrollment
- 50 clinicians in this Medicare group
Bakersfield, CA 93306
- Reassigned Medicare billing, California enrollment
- 532 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
JOHNSTOWN, PA 15905
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 Karina Sanchez's NPI number?
The NPI number for Karina Sanchez is 1922458801. It was assigned to this individual provider in the NPPES registry on June 21, 2016.
Where is Karina Sanchez located?
Karina Sanchez practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-1660.
What is Karina Sanchez's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Karina Sanchez enrolled in Medicare?
Yes. Karina Sanchez 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 Karina Sanchez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karina Sanchez reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (San Diego, CA), Golden West Emergency Medical Associates, Inc (Monterey Park, CA) and Kern County Hospital Authority (Bakersfield, CA). 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 Karina Sanchez'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 Karina Sanchez was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Karina Sanchez, M.D. · NPI 1922458801
Surgery physician in Johnstown, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 21, 2016.
## Identity
- **NPI:** 1922458801 (Entity type: Individual)
- **Enumerated:** June 21, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** MT211623 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1086 FRANKLIN ST, Johnstown, PA 15905-4305
- **Phone:** (814) 534-1660 · **Fax:** (814) 534-1680
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA); Golden West Emergency Medical Associates, Inc (NPI 1053680298, Monterey Park, CA); Kern County Hospital Authority (NPI 1376623538, Bakersfield, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922458801) · Data from the CMS NPPES public registry.