Active NPI
Sandhya Manivannan Gelou, M.D.
- Family Medicine Physician
- Bellingham, WA
National Provider Identifier
1447515853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60717353
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 151241 | CA | MD | Family Medicine Physician |
| MD60717353 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diabetes, Osteoporosis & Weight Loss Center PLLC | Family Medicine | Current | 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
- sandhya.gelou.1@26686.direct.athenahealth.com
- 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.
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1497490130
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.