Sanjeev Karki, MD - Medicare Internal Medicine in Somerset, PA

Sanjeev Karki, MD is a medicare enrolled "Internal Medicine" physician in Somerset, Pennsylvania. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Usacs Integrated Acute Care Services Of Ohio Llc and his current practice location is 225 S Center Ave, Hospital Medicine, Somerset, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 443-5000.

Sanjeev Karki is licensed to practice in Pennsylvania (license number MD471191) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528588852.

Contact Information

Sanjeev Karki, MD
225 S Center Ave, Hospital Medicine,
Somerset, PA 15501
(814) 443-5000
Not Available

Map and Direction




Physician's Profile

Full NameSanjeev Karki
GenderMale
SpecialityInternal Medicine
Experience9 Years
Location225 S Center Ave, Somerset, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sanjeev Karki graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1528588852
  • Provider Enumeration Date: 06/27/2017
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325462203
  • Enrollment ID: I20230825002990

Medical Identifiers

Medical identifiers for Sanjeev Karki such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528588852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD471191 (Pennsylvania)Primary
207R00000XInternal Medicine 35.148337 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health - Fairfield HospitalFairfield, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Usacs Integrated Acute Care Services Of Ohio Llc9032527221195

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sanjeev Karki allows following entities to bill medicare on his behalf.
Entity NameUsacs Integrated Acute Care Services Of Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043805690
PECOS PAC ID: 9032527221
Enrollment ID: O20210428002191

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sanjeev Karki is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sanjeev Karki, MD
225 S Center Ave, Division Of Hospital Medicine,
Somerset, PA 15501

Ph: (814) 443-5000
Sanjeev Karki, MD
225 S Center Ave, Hospital Medicine,
Somerset, PA 15501

Ph: (814) 443-5000

Reviews and Comments


Internal Medicine Doctors in Somerset, PA

Dr. Jayesh B Desai, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 126 E Church St, Suite 3200, Somerset, PA 15501
Phone: 814-443-1908    Fax: 814-443-9908
Ms. Deborah A Baceski, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 105 W Church St, Somerset, PA 15501
Phone: 814-443-1451    Fax: 814-444-8100
Jae Ui Hong, MD
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Practice Location: 321 E Main St, Suite 100, Somerset, PA 15501
Phone: 814-445-5169    Fax: 814-443-6290
Robert E Kramer, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 4324 Glades Pike, Somerset, PA 15501
Phone: 814-445-4585    Fax: 814-443-2642
Hemanth K Andanappa, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 225 S Center Ave, Somerset, PA 15501
Phone: 814-553-4000    
Dr. Genevieve Lynn Everett-sigwalt, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 126 E Church St Ste 3100, Somerset, PA 15501
Phone: 814-445-7101    
Dr. Mohammad Javad Saadat, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 105 W Church St, Suite 1, Somerset, PA 15501
Phone: 814-445-5099    Fax: 814-444-1852

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.