Sapana Mainali, M.D.
NPI 1235243726 · Internal Medicine Physician · State College, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sapana Mainali, M.D. is a Internal Medicine Physician provider in State College, PA (NPI 1235243726).
Provider details
- NPI number
- 1235243726
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD429734 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,068 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 405 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 325 | $121 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 114 | $171 |
| Administration of Influenza Virus VaccineG0008 | 60 | $30 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 49 | $86 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 104 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 554 | 162 |
| Levothyroxine Sodium | 355 | 87 |
| Gabapentin | 258 | 79 |
| Losartan Potassium | 227 | 66 |
| Omeprazole | 206 | 62 |
| Lisinopril | 186 | 61 |
| Furosemide | 183 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2020-08-06
- Certified
- 2020-08-06
Frequently asked questions
- What is Sapana Mainali's NPI number?
- Sapana Mainali's National Provider Identifier (NPI) is 1235243726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sapana Mainali's specialty?
- Sapana Mainali is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sapana Mainali located?
- Sapana Mainali's practice location on file with NPPES is 200 Scenery Dr, State College, PA 16801-7974.
- What is Sapana Mainali's phone number?
- The practice phone number listed in the NPPES registry for Sapana Mainali is (814) 231-4560.
- Does Sapana Mainali accept Medicare?
- Sapana Mainali is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sapana Mainali's NPI active?
- Yes — Sapana Mainali's NPI (1235243726) is active in the NPPES registry as of the last update on 2020-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.