DR. ROJA RAMANI SANIKAPALLY M.D.
NPI 1942275433
Hospitalist in Athens, GA
About Dr. Roja Ramani Sanikapally M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ROJA RAMANI SANIKAPALLY M.D. (NPI 1942275433) is an individual hospitalist provider in Athens, Georgia, licensed in Georgia (055742) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 7
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. Roja Ramani Sanikapally 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
2Medicare enrollment records show Roja Sanikapally reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dawsonville, GA 30534
- Reassigned Medicare billing, Georgia enrollment
- 466 clinicians in this Medicare group
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 410 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Forsyth
Acute Care Hospitals · Cumming, GANorthside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GANorthside Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30606 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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Roja Sanikapally's NPI number?
The NPI number for Roja Sanikapally is 1942275433. It was assigned to this individual provider in the NPPES registry on February 20, 2006. The provider is also known as Roja Ramani Durgam MD.
Where is Roja Sanikapally located?
Roja Sanikapally practices at 1199 Prince Ave, Athens, GA 30606. The listed phone number is (706) 475-5076.
What is Roja Sanikapally's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Roja Sanikapally enrolled in Medicare?
Yes. Roja Sanikapally 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 Roja Sanikapally's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roja Sanikapally reassigns Medicare benefits to 2 organizations: Northside Primary Care Professional Services, LLC (Dawsonville, GA) and Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA). 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 Roja Sanikapally's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roja Sanikapally accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Roja Sanikapally 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 Roja Sanikapally affiliated with any hospitals?
According to CMS data, Roja Sanikapally is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett and Northside Hospital.
When was this NPI record last updated?
The NPPES record for Roja Sanikapally was last updated on June 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Dr. Roja Ramani Sanikapally, M.D. · NPI 1942275433
Hospitalist physician in Athens, Georgia. Individual provider, active in the CMS NPPES registry since February 20, 2006.
## Identity
- **NPI:** 1942275433 (Entity type: Individual)
- **Enumerated:** February 20, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 055742 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1199 PRINCE AVE, Athens, GA 30606
- **Phone:** (706) 475-5076 · **Fax:** (706) 475-6676
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Northside Primary Care Professional Services, LLC (NPI 1215369715, Dawsonville, GA); Piedmont Athens Hospitalist Physicians LLC (NPI 1578079000, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** June 18, 2018
- **Other identifiers:** Other 340838 (GA); Other P00241606 (GA); Other 8940079 (GA); and 4 more
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Source: [NPI Profile](https://npiprofile.com/npi/1942275433) · Data from the CMS NPPES public registry.