Individual provider Active NPI

Sanjay Chaudhry, MD

  • Specialist
  • Martins Ferry, OH
National Provider Identifier
1013088228
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35062737C Issued in OH
Practice address
92 N 4TH St
Suite 11
Martins Ferry, OH 43935-1691
Phone
(740) 633-4447
Fax
(740) 633-4250
NPI assigned
Nov 10, 2006
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18071 WV
Specialist 174400000X 35062737C OH Primary
Gastroenterology Physician 207RG0100X MD043561E PA

Addresses

Primary practice location

92 N 4TH St
Suite 11
Martins Ferry, OH 43935-1691

Mailing address

92 N 4TH St Ste 11
Martins Ferry, OH 43935-1600
Phone (740) 633-4447

Other practice location 1

954 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 376-1180

Other practice location 2

4150 Barrett Blvd Ste 200
Ephrata, PA 17522-8979
Phone (717) 738-5648

Other identifiers 2

IdentifierTypeStateIssuer
0077693000MedicaidWV
0956069MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040614000403 OH Practitioner - Gastroenterology 6901890060
I20040614000462 WV Practitioner - Gastroenterology 6901890060 Reassigns benefits to 1 organization
I20251014004139 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 6901890060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

4150 Barrett Blvd
Suite 200
Ephrata, PA 17522-8979
Phone (717) 738-5648

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35062737COHMDSpecialist
18071WVMDSpecialist
MD043561EPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Wellspan Medical Group Gastroenterology Current Accepting new patients
Wellspan Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4150 Barrett Blvd
Ste 200
Ephrata, PA 17522
Phone (717) 738-5648

954 Isabel Dr
Lebanon, PA 17042
Phone (717) 376-1180

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
  • OH PPO

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1013088228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 N 4TH ST STE 11",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351600",
            "telephone_number": "740-633-4447",
            "fax_number": "740-633-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 N 4TH ST",
            "address_2": "SUITE 11",
            "city": "MARTINS FERRY",
            "state": "OH",
            "postal_code": "439351691",
            "telephone_number": "740-633-4447",
            "fax_number": "740-633-4250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "954 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427482",
            "country_code": "US",
            "telephone_number": "717-376-1180",
            "fax_number": "717-376-1184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Barrett Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-738-5648",
            "fax_number": "717-327-4014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WV",
            "license": "18071",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35062737C",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD043561E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077693000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0956069",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martins Ferry, OH

Sources for this page

Verify at the official NPI Registry.