Sanjay Pethkar, M.D.
NPI 1134181829 · Internal Medicine Physician · Plainfield, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Pethkar, M.D. is a Internal Medicine Physician provider in Plainfield, IL (NPI 1134181829).
Provider details
- NPI number
- 1134181829
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036091255 (IL)
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
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
2,317 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) |
|---|---|---|
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 939 | $64 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 464 | $129 |
| 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 | 243 | $16 |
| Advance Care Planning, First 30 Minutes99497 | 96 | $84 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 93 | $133 |
| Annual Depression Screening, 5 to 15 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 68 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 199 | 59 |
| Atorvastatin Calcium | 173 | 56 |
| Metoprolol Succinate | 150 | 37 |
| Metformin Hcl | 138 | 48 |
| Glimepiride | 124 | 37 |
| Amlodipine Besylate | 113 | 38 |
| Losartan Potassium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$45 across 2 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
- 2006-04-06
- Last updated
- 2011-11-15
Frequently asked questions
- What is Sanjay Pethkar's NPI number?
- Sanjay Pethkar's National Provider Identifier (NPI) is 1134181829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Pethkar's specialty?
- Sanjay Pethkar is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Pethkar located?
- Sanjay Pethkar's practice location on file with NPPES is 13415 S Route 59, Plainfield, IL 60585-5676.
- What is Sanjay Pethkar's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Pethkar is (815) 609-3627.
- Does Sanjay Pethkar accept Medicare?
- Sanjay Pethkar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Pethkar's NPI active?
- Yes — Sanjay Pethkar's NPI (1134181829) is active in the NPPES registry as of the last update on 2011-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.