Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346237385 Individual Practitioner Male Practitioner

Dr. Sanjay Mardolkar , MD

Pediatrics • Chillicothe, OH

Professional Overview & Biography Verified Profile Summary

Dr. Sanjay Mardolkar, MD is a registered healthcare professional specializing in Pediatrics in Chillicothe, OH. Practice services are available at 4439 STATE ROUTE 159 STE G10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4439 State Route 159 Ste G10

Chillicothe, OH 456017708

Telephone 7407794300
Fax 7407794391
Associated Practice Facility / Clinic
🏢 Adena Health System Facility NPI 1659558526

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Chillicothe, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Chillicothe, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35.077587

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NC 2015-01700

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License WV 19900

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Pediatrics - Adolescent Medicine

NUCC Taxonomy Code: 2080A0000X

State License OH 35077587

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1346237385 (NC)
Medicaid State Provider ID
NC2514 (SC)
Medicaid State Provider ID
2143040 (OH)
Medicaid State Provider ID
6700083000 (WV)

Secondary Practice Locations

231 S Sharon Amity Rd

Charlotte, NC 282112803

Phone: 7046310002

231 S Sharon Amity Rd

Charlotte, NC 282112803

Phone: 7046310002

Practice Associates & Co-Workers

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

15 Associated Practitioners
NPI 1093789356

Doctor of Medicine (M.D.)

Michelle Smith , CNP

Nurse Practitioner - Pediatrics

NPI 1144652967

Certified Nurse Practitioner

NPI 1154342020

Doctor of Medicine (M.D.)

NPI 1184658155

Doctor of Medicine (M.D.)

NPI 1205845526

Doctor of Medicine (M.D.)

NPI 1275066482

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 4439 STATE ROUTE 159 STE G10, CHILLICOTHE, OH 456017708 (Tel: 7407794300)

📍
Updated Business Mailing Address March 17, 2018

Registered at 4439 STATE ROUTE 159 STE G10, CHILLICOTHE, OH 456017708 (Tel: 7407794300)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as SANJAY MARDOLKAR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Pediatrics (License #2015-01700 in NC)

NPI Profile Active November 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2016

Registered at 231 S SHARON AMITY RD, CHARLOTTE, NC 282112803 (Tel: 7046310002)

📍
Updated Business Mailing Address November 10, 2016

Registered at 231 S SHARON AMITY RD, CHARLOTTE, NC 282112803 (Tel: 7046310002)

👤
Provider Name / Credentials Updated November 10, 2016

Recorded as SANJAY MARDOLKAR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2016

Pediatrics (License #2015-01700 in NC)

🟢
Initial NPI Registration & Enumeration October 04, 2005

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: 1346237385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2005
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

4439 State Route 159 Ste G10

Chillicothe, OH 456017708

Phone: 7407794300

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.