NPIMap

Individual provider Active NPI

Sameer Pandeya, M.D.

  • Internal Medicine Physician
  • Bismarck, ND
National Provider Identifier
1275770760
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12104 Issued in ND
Practice address
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone
(701) 530-7000
NPI assigned
Jan 21, 2009
Last updated
Jul 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12104 ND Primary
Infectious Disease Physician 207RI0200X 12104 ND

Addresses

Primary practice location

900 E Broadway Ave
Bismarck, ND 58501-4520

Mailing address

2840 Index Rd
Fitchburg, WI 53713-3117
Phone (608) 229-7221

Other identifiers 1

IdentifierTypeStateIssuer
1452802MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20180724002162 WI Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Infectious Disease 3779739834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Infectious Disease, Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Madison Area Renal Specialists SCGroup PAC ID 8628979432, 5 clinicians

Practice addresses (Care Compare)

2840 Index Rd
Fitchburg, WI 53713-3117
Phone (608) 229-7221

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.57
Promoting interoperability
100
Improvement activities
40
Cost
86.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Area Renal Specialists, SC CurrentSince Sep 1, 2018 Accepting new patients

Locations

1600 Jefferson St
Baraboo, WI 53913
Phone (608) 355-1860

1626 Tuttle St
Ste 3
Baraboo, WI 53913
Phone (608) 229-7221

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

2840 Index Rd
Fitchburg, WI 53713
Phone (608) 229-7221

3034 Fish Hatchery Rd
Fitchburg, WI 53713
Phone (608) 270-5600

5535 Nobel Dr
Fitchburg, WI 53711
Phone (414) 405-8348

1407 Creston Park Dr
Janesville, WI 53545
Phone (608) 752-6362

4600 American Pkwy
Ste 102
Madison, WI 53718
Phone (608) 243-3003

2831 Okeeffe Ave
Sun Prairie, WI 53590
Phone (608) 274-6358

Interoperability endpoints

  • Direct secure messaging: spandeya269672@direct-ehr-ssmhc.com

Organizations & group practices 1

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 11

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": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1275770760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 INDEX RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133117",
            "telephone_number": "608-229-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E BROADWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014520",
            "telephone_number": "701-530-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEYA",
        "first_name": "SAMEER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "12104",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "ND",
            "license": "12104",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452802",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.