DR. SANDIP PRANLAL SHETH
NPI 1972548915
Psychiatry & Neurology - Psychiatry in Richmond Hill, NY

Q: What is Sandip Sheth's NPI number?

The NPI number for Sandip Sheth is 1972548915. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Sandip Sheth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Sandip Sheth was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 16, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

8900 VAN WYCK EXPY, RICHMOND HILL, NY 11418(718) 206-7160(718) 206-7169 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Sandip Pranlal Sheth NPPES

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

DR. SANDIP PRANLAL SHETH (NPI 1972548915) is an individual psychiatry provider in Richmond Hill, New York, licensed in New York (193676) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1972548915

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. SANDIP PRANLAL SHETH

Location Address8900 VAN WYCK EXPYRichmond Hill, NY 11418-2897

Mailing Address80 Marcus Dr, Provider EnrollmentMelville, NY 11747-4230 · (631) 391-8354 · Fax (631) 454-4161

Phone(718) 206-7160

Fax(718) 206-7169

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJune 16, 2006

Last NPPES UpdateJune 21, 2019

✔ NPI 1972548915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 193676

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

8900 VAN WYCK EXPY, Richmond Hill, NY 11418

Open in Google Maps ↗

Other Identifiers 1

Medicaid01618088NY

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

Dr. Sandip Pranlal Sheth 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 ID1355485806

PECOS Enrollment IDI20100222000262

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 3

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 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.

762 services138 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

550 services119 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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

$201.98 typical visit price

range $67.00 – $201.98

Typical copayment $50.49 (range $16.75 – $50.49)

Most-billed visit code 99205

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

Most-billed visit code 99213

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

84.1

Improvement Activities

Reported Quality Measures

Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management

100%110 patients

Dementia: Education and Support of Caregivers for Patients with Dementia

100%111 patients

Dementia: Functional Status Assessment

100%109 patients

Documentation of Current Medications in the Medical Record

100%8,914 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

100%1,495 patients5/55-star benchmark: 97%

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 20

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

XUN LI M.D.

Neurological Surgery