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Active NPI 1396360988 Individual Practitioner Male Practitioner

Dr. Sanjay Paudel , MD

Internal Medicine • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Paudel, MD is a certified Internal Medicine practicing in Springfield, MA. With approximately 8 years of clinical experience since completing medical education in 2018, Dr. Paudel delivers high-quality medical care to the local community at 759 CHESTNUT ST STE C3350.

Dr. Paudel is affiliated with Baystate Medical Practices Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

759 Chestnut St Ste C3350

Springfield, MA 011071619

Telephone 4137946297
Fax 4137941767

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Springfield, MA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -12.3 yrs vs City Avg
City Avg: 20.3 Yrs
State Avg: 29.3 Yrs
Regional Practice Density
289 Specialists

Practicing in Springfield, MA (7127 Statewide)

Telehealth Adoption Rate
16.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paudel (8 Years) 8 Yrs
Springfield Specialty Average (20.3 Years) 20.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
365 216 $255.16 $117.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
266 154 $178.84 $77.83
99239 Hospital discharge day management, more than 30 minutes
155 154 $263.18 $113.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
42 41 $470.00 $170.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes
28 17 $96.79 $48.90
99291 Critical care, first 30-74 minutes
13 13 $682.46 $207.88

Medical Specialties & State Licenses

CMS Verified: 2023-07-21
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 1014718

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License MA 1014718

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Hospital & Practice Group Affiliations

Baystate Medical Practices Inc

40 Wright St, Palmer, MA 010691138

Phone: 4132838761

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mehak Ali , MD

Internal Medicine

NPI 1003222431

Doctor of Medicine (M.D.)

Dr. Arnab Saha , DO

Internal Medicine

NPI 1003338641

Doctor of Osteopathic Medicine (D.O.)

NPI 1003425455

Doctor of Medicine (M.D.)

NPI 1003553744

Doctor of Medicine (M.D.)

Dr. Twara Tarasaria , MD

Internal Medicine

NPI 1013371954

Doctor of Medicine (M.D.)

Dr. Noor Tariq , MD

Internal Medicine

NPI 1013402817

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 21, 2023

Registered at 759 CHESTNUT ST STE C3350, SPRINGFIELD, MA 011071619 (Tel: 4137946297)

📍
Updated Business Mailing Address July 21, 2023

Registered at 280 CHESTNUT ST FL 2, SPRINGFIELD, MA 011991001 (Tel: 4137945700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2023

Hospitalist (License #1014718 in MA)

NPI Profile Active June 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2020

Registered at 1 GUTHRIE SQUARE, GUTHRIE ROBERT PACKER HOSPITAL, SAYRE, PA 18840 (Tel: 5708874559)

📍
Updated Business Mailing Address June 10, 2020

Registered at 1 GUTHRIE SQUARE, GUTHRIE ROBERT PACKER HOSPITAL, SAYRE, PA 18840 (Tel: 5708874559)

👤
Provider Name / Credentials Updated June 10, 2020

Recorded as SANJAY PAUDEL, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396360988
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2020
Last Update: July 21, 2023
Sole Proprietor: No

Mailing Address

280 Chestnut St Fl 2

Springfield, MA 011991001

Phone: 4137945700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.