Individual provider Active NPI

Santa Radha Nandi, MD

  • Gastroenterology Physician
  • Syosset, NY
National Provider Identifier
1679677868
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
209069 Issued in NY
Practice address
175 Jericho Tpke Ste 307a
Syosset, NY 11791-4524
Phone
(516) 932-0104
Fax
(516) 932-2354
NPI assigned
Sep 11, 2006
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 209069 NY Primary

Addresses

Primary practice location

175 Jericho Tpke Ste 307a
Syosset, NY 11791-4524

Mailing address

PO Box 1251
Syosset, NY 11791-0490
Phone (516) 932-0104

Other practice location 1

865 Merrick Ave Ste 150N
Westbury, NY 11590-6902
Phone (516) 542-3636

Other identifiers 1

IdentifierTypeStateIssuer
02075221MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080707000308 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 1557433620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

400 S Oyster Bay Rd
Suite 307
Hicksville, NY 11801-3500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy21
Upper gastrointestinal (GI) endoscopy for acid reflux16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Anesthesia PC Past Accepting new patients
DBM Medical PLLC PastSince Jun 18, 2023 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, 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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1679677868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910490",
            "telephone_number": "516-932-0104",
            "fax_number": "516-932-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE STE 307A",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914524",
            "telephone_number": "516-932-0104",
            "fax_number": "516-932-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 Merrick Ave Ste 150N",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "115906902",
            "country_code": "US",
            "telephone_number": "516-542-3636",
            "fax_number": "516-222-8212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANDI",
        "first_name": "SANTA",
        "middle_name": "RADHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "209069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02075221",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.