Individual provider Active NPI

Padmaja Venkata Sanaka, M.D.

  • Obstetrics & Gynecology Physician
  • Crown Point, IN
National Provider Identifier
1255646055
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01070466A Issued in IN
Practice address
11161 Randolph St
Crown Point, IN 46307-8564
Phone
(219) 662-9424
Fax
(219) 622-7465
NPI assigned
Aug 17, 2010
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036123780 IL
Obstetrics & Gynecology Physician 207V00000X 01070466A IN Primary

Addresses

Primary practice location

11161 Randolph St
Crown Point, IN 46307-8564

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

2150 Gettler St Ste 260
Dyer, IN 46311-2380
Phone (219) 864-2059

Other practice location 2

5225 Morning Sun Rd Ste A
Oxford, OH 45056-8929
Phone (513) 523-2158

Other identifiers 2

IdentifierTypeStateIssuer
2565399MedicaidOH
201074200MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20121024000606 IN Practitioner - Obstetrics/Gynecology 6204007313 Reassigns benefits to 2 organizations
I20200401003259 OH Practitioner - Obstetrics/Gynecology 6204007313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

11161 Randolph St
Crown Point, IN 46307-8564
Phone (219) 662-9424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as apm
Quality
90.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036123780ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince May 11, 2020 Accepting new patients
Trihealth Physicians of Indiana, Inc. CurrentSince May 11, 2020 Accepting new patients
Franciscan Physician Network CurrentSince Sep 9, 2024 Accepting new patients
Trihealth G LLC Obstetrics & Gynecology CurrentSince May 11, 2020 Accepting new patients
Trihealth H LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

10058 Cooley Rd
Ste A
Brookville, IN 47012
Phone (765) 647-2677

10058 Cooley Rd
Ste B
Brookville, IN 47012
Phone (765) 647-3557

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

11161 Randolph St
Crown Point, IN 46307
Phone (219) 662-9424

2150 Gettler St
Ste 260
Dyer, IN 46311
Phone (219) 864-2059

1040 Sierra Dr
Ste 400
Greenwood, IN 46143
Phone (317) 528-4886

5454 Hohman Ave
Hammond, IN 46320
Phone (219) 933-2077

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

5225 Morning Sun Rd
Ste A
Oxford, OH 45056
Phone (513) 523-2158

Interoperability endpoints

  • Direct secure messaging: psanaka311136@direct.trihealth.com

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 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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1255646055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 RANDOLPH ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078564",
            "telephone_number": "219-662-9424",
            "fax_number": "219-622-7465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Gettler St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463112380",
            "country_code": "US",
            "telephone_number": "219-864-2059",
            "fax_number": "218-864-2644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 Morning Sun Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "OH",
            "postal_code": "450568929",
            "country_code": "US",
            "telephone_number": "513-523-2158",
            "fax_number": "513-523-0019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANAKA",
        "first_name": "PADMAJA",
        "middle_name": "VENKATA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036123780",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01070466A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565399",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201074200",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.