NPIMap

Individual provider Active NPI

Sanketh Proddutur

  • Family Medicine Physician
  • Monessen, PA
National Provider Identifier
1184037822
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD461835 Issued in PA
Practice address
2 Eastgate Ave Ste 101
Upmc St Margaret Hospital
Monessen, PA 15062-1392
Phone
(724) 684-8999
NPI assigned
Jun 10, 2014
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD461835 PA Primary

Addresses

Primary practice location

2 Eastgate Ave Ste 101
Upmc St Margaret Hospital
Monessen, PA 15062-1392

Mailing address

2 Eastgate Ave Ste 101
Upmc St Margaret Hospital
Monessen, PA 15062-1392

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sanketh.r.proddutur@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171003006364 PA Practitioner - Family Practice 8628368164 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upmc Community Medicine IncGroup PAC ID 2062318975, 736 clinicians

Practice addresses (Care Compare)

3937 Butler St
Pittsburgh, PA 15201-3222
Phone (412) 622-7343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD461835PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince Jul 29, 2017 Accepting new patients
Southwest Behavioral Care, Inc. CurrentSince Sep 22, 2018 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 1, 2018 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 1, 2018 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Mon Valley Community Health Services, Inc Family Medicine CurrentSince Jun 22, 2021 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 29, 2017 Accepting new patients
Southwest Behavioral Care, Inc. PastSince Sep 22, 2018 Accepting new patients
Upmc Community Medicine Inc Family Medicine Past Accepting new patients
Upmc St Margaret Past Accepting new patients

Locations

300 Chamber Plz
Charleroi, PA 15022
Phone (724) 489-8096

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Eastgate Ave
Monessen, PA 15062
Phone (724) 684-6489

2 Eastgate Ave
Ste 101
Monessen, PA 15062
Phone (724) 314-3015

2 Eastgate Ave
Ste 102
Monessen, PA 15062
Phone (724) 684-6489

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

3937 Butler St
Pittsburgh, PA 15201
Phone (412) 621-8235

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Organizations & group practices 11

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 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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1184037822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 EASTGATE AVE STE 101",
            "address_2": "UPMC ST MARGARET HOSPITAL",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EASTGATE AVE STE 101",
            "address_2": "UPMC ST MARGARET HOSPITAL",
            "city": "MONESSEN",
            "state": "PA",
            "postal_code": "150621392",
            "telephone_number": "724-684-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRODDUTUR",
        "first_name": "SANKETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD461835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sanketh.r.proddutur@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monessen, PA

Sources for this page

Verify at the official NPI Registry.