Active NPI
Richard R Sandrowicz, MD
- Family Medicine Physician
- Indiana, PA
National Provider Identifier
1477592582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD025422E
- Practice address
- 1265 Wayne Ave
Suite 105
Indiana, PA 15701-3501 - Phone
- (724) 349-6742
- Fax
- (724) 349-1213
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD025422E | PA | Primary |
Addresses
Primary practice location
1265 Wayne Ave
Suite 105
Indiana, PA 15701-3501
Mailing address
1265 Wayne Ave
Suite 105
Indiana, PA 15701-3501
Phone (724) 349-6742
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000949341-0001 | Medicaid | PA | |
| 251586963 | Other | PA | UPMC |
| SA165137 | Other | PA | BLUE CROSS BLUE SHIELD |
| 251586963 | Other | PA | GATEWAY ASSURED |
| 251586963 | Other | PA | UPMC FOR LIFE |
| 251586963 | Other | PA | AAG |
| 251586963 | Other | PA | UNITED HEALTH CARE |
| 165137 | Other | PA | INDEPENDENT BLUE |
| P001589 | Other | PA | GATEWAY |
| SA1491452 | Other | PA | HIGHMARK |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040517000071 | PA | Practitioner - Family Practice | 1658361118 | Practice locations: Indiana, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Jefferson Medical College of Thomas Jefferson University, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1265 Wayne Ave
Suite 105
Indiana, PA 15701-3501
Hospital & facility affiliations
- Anew Home Health Agency Inc
- Visiting Nurse Association of Indiana County
- 365 Hospice LLC
- Indiana Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windber Hospital, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Clymer, PA
- NPI 1982609806
-
- Home Health Agency
- Indiana, PA
- NPI 1588693410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1477592582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE",
"address_2": "SUITE 105",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013501",
"telephone_number": "724-349-6742",
"fax_number": "724-349-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 WAYNE AVE",
"address_2": "SUITE 105",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013501",
"telephone_number": "724-349-6742",
"fax_number": "724-349-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDROWICZ",
"first_name": "RICHARD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD025422E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000949341-0001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "251586963",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "SA165137",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY ASSURED",
"identifier": "251586963",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC FOR LIFE",
"identifier": "251586963",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAG",
"identifier": "251586963",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "251586963",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT BLUE",
"identifier": "165137",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "P001589",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "SA1491452",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.