Individual provider Active NPI

Sandeep Kumar Kakaria, M.D.

  • Ophthalmology Physician
  • Mechanicsburg, PA
National Provider Identifier
1477517670
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD428155 Issued in PA
Practice address
2005 Technology Pkwy
Suite 230
Mechanicsburg, PA 17050-9413
Phone
(717) 695-9355
Fax
(717) 695-9356
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD428155 PA Primary

Addresses

Primary practice location

2005 Technology Pkwy
Suite 230
Mechanicsburg, PA 17050-9413

Mailing address

2005 Technology Pkwy
Suite 230
Mechanicsburg, PA 17050-9413
Phone (717) 695-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060418000013 PA Practitioner - Ophthalmology 9739198946 Practice locations: Mechanicsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Vanderbilt University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2005 Technology Pkwy
Suite 230
Mechanicsburg, PA 17050-9413
Phone (717) 422-3742

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Merit-based Incentive Payment System (MIPS)

Final score
91.22 of 100Reported as individual
Quality
99.91
Improvement activities
40
Cost
70.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery266

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD428155PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick G. Brannac, MD Ophthalmology Past Accepting new patients
Moore Eye Care, P.C. Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drkakaria@drkakaria.direct.eyemdemr.com

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.

Hospital & facility affiliations 7

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1477517670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY",
            "address_2": "SUITE 230",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509413",
            "telephone_number": "717-695-9355",
            "fax_number": "717-695-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 TECHNOLOGY PKWY",
            "address_2": "SUITE 230",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170509413",
            "telephone_number": "717-695-9355",
            "fax_number": "717-695-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKARIA",
        "first_name": "SANDEEP",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD428155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.