Sanjay Timilsina, MD
NPI 1043731011 · Internal Medicine Physician · Springfield, MA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Timilsina, MD is a Internal Medicine Physician provider in Springfield, MA (NPI 1043731011).
Provider details
- NPI number
- 1043731011
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 284153 (MA)
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
8 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
843 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 363 | $78 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 267 | $117 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 182 | $114 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 31 | $167 |
Typical Medicare-allowed amounts for these services range $78–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 41 | 30 |
| Metoprolol Succinate | 39 | 30 |
| Furosemide | 36 | 34 |
| Carvedilol | 33 | 20 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 31 | 21 |
| Apixabanbrand: Eliquis | 31 | 24 |
| Torsemide | 30 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-06-29
- Last updated
- 2020-09-08
- Certified
- 2020-09-08
Frequently asked questions
- What is Sanjay Timilsina's NPI number?
- Sanjay Timilsina's National Provider Identifier (NPI) is 1043731011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Timilsina's specialty?
- Sanjay Timilsina is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Timilsina located?
- Sanjay Timilsina's practice location on file with NPPES is 759 Chestnut Street, Springfield, MA 01107-1619.
- What is Sanjay Timilsina's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Timilsina is (413) 794-6297.
- Does Sanjay Timilsina accept Medicare?
- Sanjay Timilsina is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Timilsina's NPI active?
- Yes — Sanjay Timilsina's NPI (1043731011) is active in the NPPES registry as of the last update on 2020-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.