Individual provider Active NPI

Sandhya Jagannathan, M.D.

  • Internal Medicine Physician
  • Belle, MO
National Provider Identifier
1962440594
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2004012240 Issued in MO
Practice address
100 Highway 28 W
Belle, MO 65013-3405
Phone
(573) 859-3775
Fax
(573) 859-3997
NPI assigned
Jun 4, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2004012240 MO Primary

Addresses

Primary practice location

100 Highway 28 W
Belle, MO 65013-3405

Mailing address

1416 Overland Dr
Rolla, MO 65401-6817
Phone (573) 426-2572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20130401000019 MO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 9234184375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2004012240MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Regional Health Services Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
SSM Regional Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sandhya.jagannathan@cernerdirect.coxhealth.com

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962440594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 OVERLAND DR",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654016817",
            "telephone_number": "573-426-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 28 W",
            "city": "BELLE",
            "state": "MO",
            "postal_code": "650133405",
            "telephone_number": "573-859-3775",
            "fax_number": "573-859-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGANNATHAN",
        "first_name": "SANDHYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2004012240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle, MO

Sources for this page

Verify at the official NPI Registry.