Individual provider Active NPI

Sanjay Kevin Anandaram, MD

  • Neurology Physician
  • Rochester, NY
National Provider Identifier
1013262153
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
288595 Issued in NY
Practice address
1415 Portland Ave Ste 445
Rochester, NY 14621-3022
Phone
(585) 922-4371
Fax
(585) 922-7485
NPI assigned
Jul 15, 2012
Last updated
Aug 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2025-02751 NC
Neurology Physician 2084N0400X 25MA12759700 NJ
Neurology Physician 2084N0400X 109382 GA
Neurology Physician 2084N0400X 13911-320 WI
Neurology Physician 2084N0400X MD227340 OR
Neurology Physician 2084N0400X 288595 NY Primary
Neurology Physician 2084N0400X MD70027315 WA

Addresses

Primary practice location

1415 Portland Ave Ste 445
Rochester, NY 14621-3022

Mailing address

1415 Portland Ave Ste 445
Rochester, NY 14621-3022
Phone (585) 922-4371

Other practice location 1

10905 Providence Rd W Ste G200
Charlotte, NC 28277-1538
Phone (980) 488-4900

Other practice location 2

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Other practice location 3

211 Essex St Ste 104
Hackensack, NJ 07601-3244
Phone (551) 277-4441

Other practice location 4

55 Meadowlands Pkwy
Secaucus, NJ 07094-2977
Phone (551) 277-4441

Other practice location 5

342 Fairview St
Silverton, OR 97381-1917
Phone (503) 873-1500

Other practice location 6

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7700

Other practice location 7

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-2200

Other practice location 8

2211 NE 139th St
Vancouver, WA 98686-2742
Phone (360) 487-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sanandaram218589@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA, GA, OR, WI, NC, NJ7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20170706000926 NY Practitioner - Neurology 1850698937 Reassigns benefits to 3 organizations
I20250923003753 WA Practitioner - Neurology 1850698937 Reassigns benefits to 1 organization
I20250925003230 GA Practitioner - Neurology 1850698937 Reassigns benefits to 1 organization
I20251027000238 OR Practitioner - Neurology 1850698937 Reassigns benefits to 1 organization
I20251218002456 WI Practitioner - Psychiatry 1850698937 Reassigns benefits to 2 organizations
I20251219001098 NC Practitioner - Neurology 1850698937 Reassigns benefits to 1 organization
I20260611000532 NJ Practitioner - Neurology 1850698937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Atlanta Professional Services LLCGroup PAC ID 0840291944, 423 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000

1208 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 359-2640

1250 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2427

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1305

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7597

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288595NYMDLicensed Practical Nurse
109382GAMDNeurology Physician
2025-02751NCMDNeurology Physician
25MA12759700NJMDNeurology Physician
MD227340ORMDNeurology Physician
MD70027315WAMDNeurology Physician
13911-320WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canton-Potsdam Hospital CurrentSince Aug 1, 2021 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2017 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2017 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Sep 9, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 9, 2025 Accepting new patients
Rochester General Hospital Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Dec 15, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 21, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Daniel Korya MD LLC Neurology CurrentSince May 29, 2026 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 1, 2017 Accepting new patients
Silverton Health CurrentSince Sep 9, 2025 Accepting new patients
Canton-Potsdam Hospital CurrentSince Aug 1, 2021 Accepting new patients
Silverton Health Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 9, 2025 Accepting new patients
Agnesian Healthcare Inc CurrentSince Dec 15, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 9, 2025 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 1, 2026 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 1, 2017 Accepting new patients
Radius Telemed, LLC CurrentSince May 29, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 21, 2025 Accepting new patients
Silverton Health CurrentSince Sep 9, 2025 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 9, 2025 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations (25 of 29)

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

10905 Providence Rd W
Ste G200
Charlotte, NC 28277
Phone (980) 488-4900

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

211 Essex St
Ste 104
Hackensack, NJ 07601
Phone (201) 489-3888

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Ste 445
Rochester, NY 14621
Phone (585) 922-4371

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1425 Portland Ave
Lbby
Rochester, NY 14621
Phone (585) 922-4111

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

Networks

  • TN PPO C-SNP
  • TN PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: sanandaram1746688@direct.novanthealth.org
  • Direct secure messaging: sanandaram218589@direct.rochesterregional.org

Organizations & group practices 26

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.

View all 26

Hospital & facility affiliations 7

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": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1013262153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 445",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213022",
            "telephone_number": "585-922-4371",
            "fax_number": "585-922-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 445",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213022",
            "telephone_number": "585-922-4371",
            "fax_number": "585-922-7485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10905 Providence Rd W Ste G200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282771538",
            "country_code": "US",
            "telephone_number": "980-488-4900",
            "fax_number": "980-488-4905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Johnson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421606",
            "country_code": "US",
            "telephone_number": "404-851-8000",
            "fax_number": "404-303-3759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Essex St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076013244",
            "country_code": "US",
            "telephone_number": "551-277-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Meadowlands Pkwy",
            "address_purpose": "LOCATION",
            "city": "Secaucus",
            "state": "NJ",
            "postal_code": "070942977",
            "country_code": "US",
            "telephone_number": "551-277-4441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "342 Fairview St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811917",
            "country_code": "US",
            "telephone_number": "503-873-1500",
            "fax_number": "503-873-1534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278862011",
            "country_code": "US",
            "telephone_number": "252-641-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-413-2200",
            "fax_number": "503-413-2756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 NE 139th St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862742",
            "country_code": "US",
            "telephone_number": "360-487-1000",
            "fax_number": "360-487-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANANDARAM",
        "first_name": "SANJAY",
        "middle_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-15",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2025-02751",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA12759700",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "GA",
            "license": "109382",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "13911-320",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "MD227340",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "288595",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD70027315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sanandaram218589@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1415 Portland Ave Ste 445",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.