Individual provider Active NPI

Sanjay Bindra, MD

  • Clinical Cardiac Electrophysiology Physician
  • San Mateo, CA
National Provider Identifier
1528080256
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A72359 Issued in CA
Practice address
222 W 39TH Ave
San Mateo, CA 94403-4364
Phone
(650) 573-2222
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A72359 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X A72359 CA Primary

Addresses

Primary practice location

222 W 39TH Ave
San Mateo, CA 94403-4364

Mailing address

177 Telles LN
Fremont, CA 94539-5406
Phone (310) 367-5954

Other practice location 1

1001 E Superior St Ste L201
Duluth, MN 55802-2207
Phone (218) 249-3057

Other practice location 2

1300 S Columbia Rd
Grand Forks, ND 58201-4012
Phone (701) 780-2300

Other identifiers 2

IdentifierTypeStateIssuer
P00331265OtherCARAILROAD MEDICARE
953511288OtherCATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN, ND3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051214000866 CA Practitioner - Cardiac SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 6709807019 Reassigns benefits to 3 organizations
I20161117001294 MN Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6709807019 Reassigns benefits to 3 organizations
I20180406001862 ND Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6709807019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Luke'S Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians
Altru Health SystemGroup PAC ID 1355251604, shared by 14 NPIs, 675 clinicians
County of San MateoGroup PAC ID 9032023171, 316 clinicians

Practice addresses (Care Compare)

1001 E Superior St
Suite 201
Duluth, MN 55802-2228
Phone (218) 279-6230

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

22 W 39TH Ave
San Mateo, CA 94403-4364

222 W 39TH Ave
San Mateo, CA 94403-4364

400 S Minnesota St
Crookston, MN 56716-1808
Phone (218) 281-9100

Hospital & facility affiliations

  • San Mateo Medical Center Hospital, San Mateo, CA, CCN 050113
  • St Lukes Hospital Hospital, Duluth, MN, CCN 240047
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72359CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Hospital of Duluth Current Accepting new patients
Altru Health System CurrentSince Sep 16, 2019 Accepting new patients
California Cardiovascular Consultants Medical Associates CurrentSince Sep 10, 2011 Accepting new patients
Washington Township Hospital District CurrentSince Oct 26, 2011 Accepting new patients
County of San Mateo CurrentSince Jan 29, 2020 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Oct 15, 2016 Accepting new patients
Washington Township Hospital District Current Accepting new patients
Altru Health System Current Accepting new patients
County of San Mateo CurrentSince Jan 29, 2020 Accepting new patients
Altru Health System Current Accepting new patients
St. Luke'S Hospital of Duluth CurrentSince Jan 22, 2024 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
The Duluth Clinic LTD CurrentSince Oct 15, 2016 Accepting new patients
Altru Health System CurrentSince Sep 16, 2019 Accepting new patients
Altru Health System CurrentSince Sep 16, 2019 Accepting new patients
California Cardiovascular Consultants Cardiovascular Disease CurrentSince Sep 10, 2011 Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients
St. Luke'S Hospital of Duluth Past Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

2333 Mowry Ave
Ste 300
Fremont, CA 94538
Phone (510) 670-1111

6250 Thornton Ave
Newark, CA 94560
Phone (510) 791-1798

175 N Jackson Ave
Ste 103
San Jose, CA 95116
Phone (408) 272-1600

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

29980 Network Pl
Chicago, IL 60673

400 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9100

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

1001 E Superior St
Ste 201
Duluth, MN 55802
Phone (218) 249-3057

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

1001 E Superior St
Ste L201
Duluth, MN 55802
Phone (218) 249-3057

607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357

19120 200th St
Greenbush, MN 56726
Phone (218) 782-2400

711 Delmore Dr
Roseau, MN 56751
Phone (218) 463-1365

412 Main Ave NE
Warroad, MN 56763
Phone (218) 386-2020

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1300 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-2300

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

Interoperability endpoints

  • Direct secure messaging: sbindra19730@smch.direct-ci.com
  • Direct secure messaging: sbindra13396@direct.whhs.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 37

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1528080256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 TELLES LN",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395406",
            "telephone_number": "310-367-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 39TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944034364",
            "telephone_number": "650-573-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E Superior St Ste L201",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558022207",
            "country_code": "US",
            "telephone_number": "218-249-3057",
            "fax_number": "218-249-3091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014012",
            "country_code": "US",
            "telephone_number": "701-780-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINDRA",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A72359",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A72359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00331265",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "953511288",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.