Sanjeevkumar Patel, M.D
NPI 1033422860 · Pulmonary Disease Physician · Appleton, WI
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjeevkumar Patel, M.D is a Pulmonary Disease Physician provider in Appleton, WI (NPI 1033422860).
Provider details
- NPI number
- 1033422860
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 65141-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,075 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Test to Examine How Well the Lungs Exchange Gases94729 | 141 | $53 |
| Test to Measure Expiratory Airflow and Volume94010 | 120 | $25 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 101 | $119 |
| Hemoglobin Measurement88738 | 96 | $5 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 88 | $8 |
| Test to Determine Lung Volumes Using Sensors94726 | 77 | $11 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 26 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 530 | 97 |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 409 | 111 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 290 | 58 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 282 | 113 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 220 | 50 |
| Tiotropium Bromidebrand: Spiriva Respimat | 113 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,812 across 17 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 191 Memorial Dr Ste 300Berlin, WI 54923-1241Phone: (920) 361-2500
- 200 Theda Clark Medical Plz Ste 480Neenah, WI 54956-2790Phone: (920) 729-0608
Registry dates
- Enumerated
- 2010-07-21
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is Sanjeevkumar Patel's NPI number?
- Sanjeevkumar Patel's National Provider Identifier (NPI) is 1033422860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjeevkumar Patel's specialty?
- Sanjeevkumar Patel is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjeevkumar Patel located?
- Sanjeevkumar Patel's practice location on file with NPPES is 2500 E Capitol Dr Ste 1700, Appleton, WI 54911-8735.
- What is Sanjeevkumar Patel's phone number?
- The practice phone number listed in the NPPES registry for Sanjeevkumar Patel is (920) 734-4773.
- Does Sanjeevkumar Patel accept Medicare?
- Sanjeevkumar Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjeevkumar Patel's NPI active?
- Yes — Sanjeevkumar Patel's NPI (1033422860) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.