Surender Kumar Sandella, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

01069610A Issued in IN

Practice address

2109 Green Valley Rd
New Albany, IN 47150-4693

Phone

(812) 948-2232

Fax

(812) 945-0869

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
• Ascension St Vincent Salem Hospital, Salem, IN, CCN 151314
• Harrison County Hospital Hospital, Corydon, IN, CCN 151331
• HCA Florida Capital Hospital Hospital, Tallahassee, FL, CCN 100254
• Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baptist Health Medical Group Inc

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1508269200

  IN

  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1780961300
  NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• Heart Health Center PC

  • Cardiovascular Disease Physician
  • Muscle Shoals, AL
  • NPI 1326100074
  NPD
• Southern Regional Health System, Inc

  • General Acute Care Hospital
  • Riverdale, GA
  • NPI 1831190958
  NPD (past)
• University Medical Services Foundation Inc

  • Health Service Clinic/Center
  • Louisville, KY
  • NPI 1861621740
  NPD (past)

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

• Baptist Healthcare System, Inc.

  • General Acute Care Hospital
  • New Albany, IN
  • NPI 1497798847
  Care Compare affiliation
• Harrison County Hospital

  • Ambulance
  • Corydon, IN
  • NPI 1073620001

  Hospital

  Care Compare affiliation
• Harrison County Hospital

  • General Acute Care Hospital
  • Corydon, IN
  • NPI 1427165455
  Care Compare affiliation
• Harrison County Hospital

  • Ambulance
  • Corydon, IN
  • NPI 1760599468

  Hospital

  Care Compare affiliation
• Harrison County Hospital

  • Critical Access Hospital
  • Corydon, IN
  • NPI 1851378137
  Care Compare affiliation
• St Vincent Salem Hospital Inc

  • Critical Access Hospital
  • Salem, IN
  • NPI 1427388982
  Care Compare affiliation
• Baptist Healthcare System, Inc.

  • General Acute Care Hospital
  • La Grange, KY
  • NPI 1306925540
  Care Compare affiliation
• Tallahassee Medical Center Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1790732303
  Care Compare affiliation

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1689736324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 GREEN VALLEY RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504693",
            "telephone_number": "812-948-2232",
            "fax_number": "812-945-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 GREEN VALLEY RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504693",
            "telephone_number": "812-948-2232",
            "fax_number": "812-945-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDELLA",
        "first_name": "SURENDER",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01069610A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01069610A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "051504691",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "060066788",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009965760",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4029085",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03055020",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2510727",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssandella26178@bhkydirect.com",
            "affiliation": "N",
            "address_1": "2109 Green Valley Rd",
            "city": "New Albany",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471504693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Derek Rycek, PHARM.D.
• Nicholas Tachibana Sako, MD
• Richard Brent Sammons, COTA
• Karen Sams, LCSW
• Kelly Sanchez, PHARMD
• Bethany Marie Sanders
• Crystal Sanders, LMT
• Shanya A Sanders
• Sierra Kaye Sandmann, LICSW
• Abigail Santorine

• Interventional Cardiology Physician in New Albany, IN
• Providers in New Albany, IN by specialty
• Interventional Cardiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.

Verify at the official NPI Registry.