Sanjay Kavathia, M.D.
NPI 1124078142 · Internal Medicine Physician · Hackettstown, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Kavathia, M.D. is a Internal Medicine Physician provider in Hackettstown, NJ (NPI 1124078142).
Provider details
- NPI number
- 1124078142
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA072670 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,278 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 771 | $140 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 488 | $116 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 394 | $125 |
| Telephone Medical Discussion With Physician, 5-10 Minutes99441 | 390 | $51 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 297 | $3 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 183 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 933 | 233 |
| Amlodipine Besylate | 769 | 202 |
| Levothyroxine Sodium | 567 | 140 |
| Pantoprazole Sodium | 496 | 126 |
| Losartan Potassium | 489 | 111 |
| Metoprolol Succinate | 465 | 121 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,782 across 64 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
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2015-02-05
Frequently asked questions
- What is Sanjay Kavathia's NPI number?
- Sanjay Kavathia's National Provider Identifier (NPI) is 1124078142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Kavathia's specialty?
- Sanjay Kavathia is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Kavathia located?
- Sanjay Kavathia's practice location on file with NPPES is 616 Willow Grove St, Hackettstown, NJ 07840-1779.
- What is Sanjay Kavathia's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Kavathia is (908) 852-8484.
- Does Sanjay Kavathia accept Medicare?
- Sanjay Kavathia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Kavathia's NPI active?
- Yes — Sanjay Kavathia's NPI (1124078142) is active in the NPPES registry as of the last update on 2015-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.