Individual provider Active NPI

Sathish Prabu Sathyamangalam Samiappan, MD

  • Neurological Surgery Physician
  • Indiana, PA
National Provider Identifier
1972226215
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
R79762 Issued in AZ
Practice address
120 Irmc Dr Ste 100
Indiana, PA 15701-3674
Phone
(724) 427-2260
Fax
(724) 427-2707
NPI assigned
Sep 21, 2022
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X R79762 AZ Primary

Addresses

Primary practice location

120 Irmc Dr Ste 100
Indiana, PA 15701-3674

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssathyamangalamsamiappan1794203@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240918001053 FL Practitioner - Neurosurgery 2264801554 Reassigns benefits to 1 organization
I20251218000655 PA Practitioner - Neurosurgery 2264801554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene a Bonaroti MD Fac LLCGroup PAC ID 5092148726, 5 clinicians

Practice addresses (Care Compare)

120 Irmc Dr
Suite 100
Indiana, PA 15701-3674
Phone (888) 452-4762

2790 Mosside Blvd
Suite 700
Monroeville, PA 15146-2761
Phone (412) 275-0227

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R79762AZMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami Neurological Surgery CurrentSince Aug 20, 2024 Accepting new patients
University of Miami CurrentSince Aug 20, 2024 Accepting new patients
Eugene a Bonaroti MD Fac LLC Neurological Surgery CurrentSince Nov 15, 2025 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Feb 1, 2026 Accepting new patients
Irmc Urgicare at Indiana CurrentSince Feb 1, 2026 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

1 Aesthetic Way
Greensburg, PA 15601
Phone (412) 275-0227

120 Irmc Dr
Ste 100
Indiana, PA 15701
Phone (724) 427-2260

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

879 Hospital Rd
Indiana, PA 15701
Phone (724) 349-3031

2790 Mosside Blvd
Ste 700
Monroeville, PA 15146
Phone (412) 275-0227

Interoperability endpoints

  • Direct secure messaging: ssathyamangalamsamiappan138371@direct.med.miami.edu
  • Direct secure messaging: ssathyamangalamsamiappan1794203@ehrdirect.mayoclinicmsg.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1972226215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7333",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 IRMC DR STE 100",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013674",
            "telephone_number": "724-427-2260",
            "fax_number": "724-427-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHYAMANGALAM SAMIAPPAN",
        "first_name": "SATHISH PRABU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-21",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "R79762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssathyamangalamsamiappan1794203@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.