SANDEEP KUMAR JOHAR (DO) – Pain Medicine Physician, NPI 1174615017

SANDEEP KUMAR JOHAR (DO) is a healthcare provider. based in Waterbury, Connecticut. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 049078 (CT). The NPI Number for SANDEEP KUMAR JOHAR (DO) is 1174615017

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
SANDEEP KUMAR JOHAR (DO)
NPI
1174615017
Phone
(203) 755-6677
Address
500 CHASE PKWY
Enumeration Date
29 September 2006
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
2037556677
Graduation Year
2004 (22 years ago)
PAC ID
9537262985
Group Practice PAC ID
8820087463
Professional Enrollment ID
I20110208000279
Address ID
CT067083346WA500XXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

839 EMERGENCY MEDICINE in CT

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Provider Addresses for SANDEEP KUMAR JOHAR (DO)

  • 500, Chase Parkway, West Side Hill, Waterbury, New Haven County, Connecticut, 06708, United States

    WATERBURY, CT 067083346

    Phone: (203) 755-6677

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 222 Open Payments records for all available years, with a total value of $64,359.

Total Amount is formed as General ($64,359) + Research ($0) + Ownership ($0) = $64,359.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: SI-BONE, INC. ($61,502).

Total Amount

$64,359

General + Research + Ownership

Payments

222

Total payment records

General Amount

$64,359

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110208000279IEmergency MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg2,070100$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg67986$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml339183$0
99204New patient office or other outpatient visit, 45-59 minutes146146$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level9672$0
View full utilization report →

Insurance plans in this area (ZIP 06708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820087463View full group profile
NameSpecialtyState
Physician AssistantCT
Physician AssistantCT
-CT
Orthopedic Surgery, Hand SurgeryCT
Nurse PractitionerCT
-CT
N E U R O S U R G E R YCT
-CT
N E U R O S U R G E R YCT
Physician AssistantCT

Reviews

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Frequently asked questions

What is the registry number for SANDEEP KUMAR JOHAR (DO)?
The registry entry for SANDEEP KUMAR JOHAR (DO) shows NPI 1174615017.
Does the public listing show SANDEEP KUMAR JOHAR (DO) as active?
SANDEEP KUMAR JOHAR (DO)'s NPI record reflects an active status in NPPES.
What type of care does SANDEEP KUMAR JOHAR (DO) provide?
SANDEEP KUMAR JOHAR (DO)'s profile centers on Pain Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SANDEEP KUMAR JOHAR (DO)?
The directory associates SANDEEP KUMAR JOHAR (DO) with Waterbury, Connecticut. Check all listed addresses for suites or satellite offices.
Why is information missing for SANDEEP KUMAR JOHAR (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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