NPIMap

Individual provider Active NPI

Sanjay Lodha, MD

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1265595300
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
224264 Issued in NY
Practice address
4572 Parsons Blvd
Flushing, NY 11355
Phone
(718) 886-4848
Fax
(718) 886-5418
NPI assigned
Dec 19, 2006
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 224264 NY Primary

Addresses

Primary practice location

4572 Parsons Blvd
Flushing, NY 11355

Mailing address

4572 Parsons Blvd
Flushing, NY 11355-2221
Phone (718) 886-4848

Other practice location 1

4562 Parsons Blvd
Flushing, NY 11355
Phone (718) 886-4848

Other identifiers 1

IdentifierTypeStateIssuer
02241312MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040206000324 NY Practitioner - Internal Medicine 7315830916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanjay Lodha Physician PCGroup PAC ID 7214276906, 2 clinicians

Practice addresses (Care Compare)

4572 Parsons Blvd
Flushing, NY 11355-2221
Phone (718) 886-4848

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjay Lodha Physician PC Internal Medicine CurrentSince Jan 1, 2019 Accepting new patients
Hillside Manor Rehabilitation and Extended Care Center, LLC Past Accepting new patients
Lifeline Medical Testing PLLC Past Accepting new patients
Flushing Hospital & Medical Center Past Accepting new patients
Digestive Disease Care, PC Past Accepting new patients
Park Avenue Medical Associates, P.C. PastSince Dec 4, 1999 Accepting new patients
Gastrohealth Medical P.C. Past Accepting new patients

Locations

4572 Parsons Blvd
Flushing, NY 11355
Phone (718) 886-4848

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDHAD
  • Direct secure messaging: sanjay@slppc.curemd.direct-ci.com

Organizations & group practices 7

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 5

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1265595300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552221",
            "telephone_number": "718-886-4848",
            "fax_number": "718-886-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-886-4848",
            "fax_number": "718-886-5418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4562 Parsons Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "11355",
            "country_code": "US",
            "telephone_number": "718-886-4848",
            "fax_number": "718-886-5418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LODHA",
        "first_name": "SANJAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "224264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02241312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.