Individual provider Active NPI

Sanjay Mohan Ramchandani, M.D.

  • Obstetrics & Gynecology Physician
  • Du Bois, PA
National Provider Identifier
1225009640
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD073392L Issued in PA
Practice address
145 Hospital Ave
Suite 315
Du Bois, PA 15801-1462
Phone
(814) 371-6721
Fax
(814) 371-3921
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X L5107 TX
Obstetrics & Gynecology Physician 207V00000X MD073392L PA Primary

Addresses

Primary practice location

145 Hospital Ave
Suite 315
Du Bois, PA 15801-1462

Mailing address

145 Hospital Ave
Suite 315
Du Bois, PA 15801-1462
Phone (814) 371-6721

Other identifiers 3

IdentifierTypeStateIssuer
369529OtherPAMEDICARE PTAN
151866402MedicaidTX
10296982MedicaidPA

Other names 1

  • Dr. Sanjay Mohan Ramchandani Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170417000790 FL Practitioner - Obstetrics/Gynecology 8527008051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

950 1St St S
Suite 201
Winter Haven, FL 33880-3608
Phone (863) 656-1010

Hospital & facility affiliations

  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD073392LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Manatee PA Obstetrics & Gynecology CurrentSince Feb 1, 2020 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 18, 2017 Accepting new patients
Premier Women'S Care OB/GYN PLLC Obstetrics & Gynecology CurrentSince Mar 15, 2017 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Aug 18, 2017 Accepting new patients
Hamilton OB GYN Associates PA Obstetrics & Gynecology Past Accepting new patients
New Jersey Physician Consultants Solutions, PA Obstetrics & Gynecology Past Accepting new patients
DHP of New Jersey PA Obstetrics & Gynecology Past Accepting new patients
Robert Wood Johnson University Hospital at Hamilton Obstetrics & Gynecology Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

2250 Osprey Blvd
Ste 104
Bartow, FL 33830
Phone (863) 533-5354

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

101 Avenue O SE
Winter Haven, FL 33880
Phone (863) 294-7010

950 1st St S
Ste 201
Winter Haven, FL 33880
Phone (863) 537-6570

Organizations & group practices 10

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

Hospital & facility affiliations 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1225009640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 315",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011462",
            "telephone_number": "814-371-6721",
            "fax_number": "814-371-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 HOSPITAL AVE",
            "address_2": "SUITE 315",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011462",
            "telephone_number": "814-371-6721",
            "fax_number": "814-371-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMCHANDANI",
        "first_name": "SANJAY",
        "middle_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TX",
            "license": "L5107",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD073392L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "369529",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151866402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10296982",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANJAY",
            "last_name": "RAMCHANDANI",
            "middle_name": "MOHAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.