Individual provider Active NPI

Sandhya Manivannan Gelou, M.D.

  • Family Medicine Physician
  • Bellingham, WA
National Provider Identifier
1447515853
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60717353 Issued in WA
Practice address
2101 Cornwall Ave Ste 101
Bellingham, WA 98225-3676
Phone
(360) 288-4343
Fax
(360) 339-5566
NPI assigned
Jul 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 151241 CA
Family Medicine Physician 207Q00000X MD60717353 WA Primary

Addresses

Primary practice location

2101 Cornwall Ave Ste 101
Bellingham, WA 98225-3676

Mailing address

2101 Cornwall Ave Ste 101
Bellingham, WA 98225-3676
Phone (360) 288-4343

Other names 1

  • Dr. Sandhya Manivannan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20191211003143 WA Practitioner - Family PracticePractitioner - Other (Physician) 1759506686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diabetes, Osteoporosis and Weight Loss Center PLLCGroup PAC ID 6204215205, 2 clinicians

Practice addresses (Care Compare)

2101 Cornwall Ave
Suite 101
Bellingham, WA 98225-3676
Phone (360) 288-4343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151241CAMDFamily Medicine Physician
MD60717353WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes, Osteoporosis & Weight Loss Center PLLC Family Medicine CurrentSince May 12, 2022 Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

2101 Cornwall Ave
Ste 101
Bellingham, WA 98225
Phone (360) 288-4343

Interoperability endpoints

  • Direct secure messaging: sandhya.gelou.1@26686.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26686/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1447515853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CORNWALL AVE STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253676",
            "telephone_number": "360-288-4343",
            "fax_number": "360-339-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CORNWALL AVE STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253676",
            "telephone_number": "360-288-4343",
            "fax_number": "360-339-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELOU",
        "first_name": "SANDHYA",
        "middle_name": "MANIVANNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "151241",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60717353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDHYA",
            "last_name": "MANIVANNAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.