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MR. SANDEEP DATTA MD NPI 1477546166


NPI Information

NPI: 1477546166
Provider Name: MR. SANDEEP DATTA, MD
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

PECOS Registration: Yes

Address:
101 PRESTON CT
SUITE 103
MACON, GA
ZIP 31210
Phone: (478) 745-2385
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MR. Sandeep Datta, MD is an interventional pain medicine pain medicine in Macon, GA with 29 years of experience. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. MR. Sandeep Datta, MD NPI is 1477546166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 PRESTON CT
SUITE 103
MACON, GA
ZIP 31210-772
Phone: (478) 745-2385
Fax: (478) 745-1225

The NPI 1477546166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Testing for presence of drug (HCPCS:80307)
  • Injection of substance into spinal canal of lower back or sacrum using imaging guidance (HCPCS:62323)
  • Injection procedure into sacroiliac joint for anesthetic or steroid (HCPCS:27096)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)

The enumeration date for this NPI number is 8/26/2005 and was last updated on 2/16/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology050473GEORGIANo
2207LP2900XAnesthesiologyPain Medicine050473GEORGIANo
3208VP0000XPain MedicinePain Medicine050473GEORGIANo
4208VP0014XPain MedicineInterventional Pain Medicine050473GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000937637BMEDICAIDGEORGIA
2913282OTHERBLUE CROSS BLUE SHIELD
3P01049978OTHERGEORGIARAILROAD MEDICARE
4H45665MEDICARE UPIN
5000937637DMEDICAIDGEORGIA
6202I054639MEDICARE PINGEORGIA
705BDKGCMEDICARE PINGEORGIA
8H45665MEDICARE UPINGEORGIA
9000937637FMEDICAIDGEORGIA
10000937637IMEDICAIDGEORGIA
11000937637EMEDICAIDGEORGIA
1201652025OTHERGEORGIAAMERIGROUP
13P00160070OTHERRAILROAD MEDICARE
14580628385OTHERGEORGIATRICARE
15670890OTHERGEORGIAWELLCARE
16000937637HMEDICAIDGEORGIA
17000937637CMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.