Sima Suresh Pandey, MD - Medicare Family Practice in Elizabeth, NJ

Sima Suresh Pandey, MD is a medicare enrolled "Internal Medicine" physician in Elizabeth, New Jersey. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Legacy Healthcare Services Inc, Wellstar Medical Group, Llc and her current practice location is 725 N Broad St, Elizabeth, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 351-8989.

Sima Suresh Pandey is licensed to practice in Georgia (license number 055871) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043222128.

Contact Information

Sima Suresh Pandey, MD
725 N Broad St,
Elizabeth, NJ 07208-2347
(908) 351-8989
(908) 351-8879

Map and Direction




Physician's Profile

Full NameSima Suresh Pandey
GenderFemale
SpecialityFamily Practice
Experience24 Years
Location725 N Broad St, Elizabeth, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sima Suresh Pandey graduated from medical school in 2000
  NPI Data:
  • NPI Number: 1043222128
  • Provider Enumeration Date: 08/13/2006
  • Last Update Date: 07/02/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8123067188
  • Enrollment ID: I20200408004807

Medical Identifiers

Medical identifiers for Sima Suresh Pandey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043222128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25MA079850 (New Jersey)Secondary
207R00000XInternal Medicine 055871 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar North Fulton HospitalRoswell, GAHospital
Wellstar Kennestone HospitalMarietta, GAHospital
Wellstar Cobb HospitalAustell, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Healthcare Services Inc21633397223341
Wellstar Medical Group, Llc67090654021917

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. Sima Suresh Pandey allows following entities to bill medicare on her behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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. Sima Suresh Pandey 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
Sima Suresh Pandey, MD
4895 Windward Pkwy Ste 202,
Alpharetta, GA 30004-3850

Ph: (770) 475-0888
Sima Suresh Pandey, MD
725 N Broad St,
Elizabeth, NJ 07208-2347

Ph: (908) 351-8989

Reviews and Comments


Internal Medicine Doctors in Elizabeth, NJ

Matthew George Cholankeril, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 100 Grove St, Elizabeth, NJ 07202
Phone: 908-352-1738    
Dr. Guillermo Munoz,
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Practice Location: 824 Elizabeth Ave, Elizabeth, NJ 07201
Phone: 908-352-9556    Fax: 908-352-9134
Barry Simpson Levinson, MD
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Practice Location: 225 Williamson St, Elizabeth, NJ 07202
Phone: 908-994-8772    Fax: 908-994-8748
Dr. Anshu Goyal Garg, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 240 Williamson St, Suite 300, Elizabeth, NJ 07202
Phone: 908-994-8880    Fax: 908-994-8882
Jung San Shen, MD
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Medicare: Medicare Enrolled
Practice Location: 219 S Broad St, Elizabeth, NJ 07202
Phone: 908-352-5927    Fax: 908-352-6181
Dr. Manish S Patel, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 520 Westfield Ave, Suite 306, Elizabeth, NJ 07208
Phone: 908-994-1044    

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.