MRS. CARMEN SANDRIDGE (DO) – Internal Medicine Physician, NPI 1174611727
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,967 INTERNAL MEDICINE in PA
Provider Addresses for MRS. CARMEN SANDRIDGE (DO)
101 E OLNEY AVE STE 400
PHILADELPHIA, PA 191202470
Phone: (215) 456-1825
Fax: (215) 456-5926
Type: Mailing
5401 OLD YORK RD STE 331
PHILADELPHIA, PA 191413045
Phone: (215) 456-8220
Fax: (215) 456-5820
Type: Location
Germantown Avenue, Hartranft, North Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19133, United States
PHILADELPHIA, PA 19119
Phone: (215) 849-4902
Fax: (215) 849-4907
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($18).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $18 |
| Xeris Pharmaceuticals, Inc. | $14 |
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: 2006-12-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20061206000144 | I | Internal Medicine | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 49 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 29 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 23 | 21 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 17 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 19120)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| - | PA | |
| Internal Medicine | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Internal Medicine | PA | |
| Family Practice | NY | |
| Internal Medicine | PA | |
| Internal Medicine | PA |
Reviews
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