Active NPI
Sandhyarani Samantara, MD
- Hospitalist Physician
- Carmel, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 253355
- Practice address
- 670 Stoneleigh Ave
Internal Medicine
Carmel, NY 10512-3997 - Phone
- (845) 279-5711
- Fax
- (845) 278-5543
- NPI assigned
- Jul 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 253355 | NY | |
| Internal Medicine Physician | 207R00000X | 67143 | CT | |
| Hospitalist Physician | 208M00000X | 67143 | CT | |
| Hospitalist Physician | 208M00000X | 253355 | NY | Primary |
Addresses
Primary practice location
670 Stoneleigh Ave
Internal Medicine
Carmel, NY 10512-3997
Mailing address
670 Stoneleigh Ave
Internal Medicine
Carmel, NY 10512-3997
Phone (845) 279-5711
Other practice location 1
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03126309 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
45 Reade PL
Poughkeepsie, NY 12601-3947
670 Stoneleigh Ave
Carmel, NY 10512-3997
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67143 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice CT, Inc. | Single Specialty | Current | Accepting new patients |
| Nuvance Health Medical Practice PC | Single Specialty | Current | Accepting new patients |
| Putnam Hospital Center | Past | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721
1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
Interoperability endpoints
- ssamanta@direct.health-quest.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
Single Specialty
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
Single Specialty
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1619176807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 STONELEIGH AVE",
"address_2": "INTERNAL MEDICINE",
"city": "CARMEL",
"state": "NY",
"postal_code": "105123997",
"telephone_number": "845-279-5711",
"fax_number": "845-278-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 STONELEIGH AVE",
"address_2": "INTERNAL MEDICINE",
"city": "CARMEL",
"state": "NY",
"postal_code": "105123997",
"telephone_number": "845-279-5711",
"fax_number": "845-278-5543"
}
],
"practiceLocations": [
{
"address_1": "24 Hospital Ave",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106099",
"country_code": "US",
"telephone_number": "203-739-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMANTARA",
"first_name": "SANDHYARANI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "253355",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CT",
"license": "67143",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CT",
"license": "67143",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "253355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03126309",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmel, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.