Individual provider Active NPI

Mandi Sachdeva, MD

  • Dermatopathology Physician
  • Pittsburgh, PA
National Provider Identifier
1518159490
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
MD438964 Issued in PA
Practice address
875 Greentree Rd Ste 325
Pittsburgh, PA 15220-3508
Phone
(800) 845-3573
Fax
(412) 682-3511
NPI assigned
Aug 14, 2007
Last updated
May 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD438964 PA
Dermatology Physician 207N00000X 35.091817 OH
Dermatopathology Physician 207ND0900X 35.091817 OH
Dermatopathology Physician 207ND0900X MD438964 PA Primary

Addresses

Primary practice location

875 Greentree Rd Ste 325
Pittsburgh, PA 15220-3508

Mailing address

14275 Midway Rd
Suite 400
Addison, TX 75001-3614

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
I20150318000830 PA Order and Referring Only - DermatologyPractitioner - Dermatology 0749345775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.091817OHMDDermatology Physician
MD438964PAMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Dermatopathology, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1518159490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14275 MIDWAY RD",
            "address_2": "SUITE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013614",
            "fax_number": "610-271-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 GREENTREE RD STE 325",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152203508",
            "telephone_number": "800-845-3573",
            "fax_number": "412-682-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHDEVA",
        "first_name": "MANDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD438964",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.091817",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "35.091817",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "PA",
            "license": "MD438964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.