Sanjay Mardolkar, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.077587 Issued in OH

Practice address

4439 State Route 159 Ste G10
Chillicothe, OH 45601-7708

Phone

(740) 779-4300

Fax

(740) 779-4391

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

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.

• Reddy Cardiovascular Associates Professional Corporation

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Steubenville, OH
  • NPI 1962449520
  NPD (past)
• Saieed H Saieed MD

  • Cardiovascular Disease Physician
  • Weirton, WV
  • NPI 1962416420
  NPD (past)
• Sukhdev S. Grover, MD Associates

  • Pulmonary Disease Physician
  • Monroeville, PA
  • NPI 1174557490
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1346237385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE G10",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017708",
            "telephone_number": "740-779-4300",
            "fax_number": "740-779-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE G10",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017708",
            "telephone_number": "740-779-4300",
            "fax_number": "740-779-4391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 S Sharon Amity Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112803",
            "country_code": "US",
            "telephone_number": "704-631-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "231 S Sharon Amity Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282112803",
            "country_code": "US",
            "telephone_number": "704-631-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARDOLKAR",
        "first_name": "SANJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2015-01700",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "WV",
            "license": "19900",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "OH",
            "license": "35077587",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.077587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346237385",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC2514",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2143040",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6700083000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Dawn Manson, CNP
• Zachary Preston Manson, CNP
• Arman Maqbool, MD
• Alessandro L. Maranzana, M.D.
• Brooke M Maranzana, CNP
• Mares Cares Counseling LLC
• Mares Cares Family Medicine, LLC
• Alvin Mares, PHD
• Patricia Mares, PCC
• Kylie Marinkovic, LPCC-S

• All providers in Chillicothe, OH
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.