Individual provider Active NPI

Sanjay Kumar Das, MD, MPH

  • Urology Physician
  • Bethlehem, PA
National Provider Identifier
1205444767
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MT235035 Issued in PA
Practice address
801 Ostrum Street Bethlehem
1St Floor Suite 1C-1013
Bethlehem, PA 18015-0001
Phone
(484) 526-2598
NPI assigned
Jul 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Urology Physician 208800000X MT235035 PA Primary

Addresses

Primary practice location

801 Ostrum Street Bethlehem
1St Floor Suite 1C-1013
Bethlehem, PA 18015-0001

Mailing address

801 Ostrum Street Bethlehem
1St Floor Suite 1C-1013
Bethlehem, PA 18015-0001
Phone (484) 526-2598

Other practice location 1

Cleveland Clinic 9500 Euclid Avenue/Jj24
Cleveland, OH 44195-0001
Phone (216) 444-2200

Other practice location 2

900 Cooper Ave
Saginaw, MI 48602-5182
Phone (248) 252-5611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240628000223 OH Order and Referring Only - General SurgeryPractitioner - General Surgery 0749724904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT235035PAMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1205444767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM STREET BETHLEHEM",
            "address_2": "1ST FLOOR SUITE 1C-1013",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180150001",
            "telephone_number": "484-526-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM STREET BETHLEHEM",
            "address_2": "1ST FLOOR SUITE 1C-1013",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180150001",
            "telephone_number": "484-526-2598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cleveland Clinic 9500 Euclid Avenue/Jj24",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Cooper Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025182",
            "country_code": "US",
            "telephone_number": "248-252-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAS",
        "first_name": "SANJAY",
        "middle_name": "KUMAR",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MT235035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.