Sanjay Sheth, M.D.
NPI 1285616383 · Internal Medicine Physician · Niles, OH
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Sheth, M.D. is a Internal Medicine Physician provider in Niles, OH (NPI 1285616383).
Provider details
- NPI number
- 1285616383
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35085218 (OH)
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
1,218 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 | 317 | $122 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 236 | $75 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 143 | $86 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 97 | $77 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 91 | $161 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 145 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 465 | 113 |
| Levothyroxine Sodium | 430 | 99 |
| Amlodipine Besylate | 383 | 91 |
| Rosuvastatin Calcium | 342 | 93 |
| Pantoprazole Sodium | 283 | 79 |
| Lisinopril | 205 | 55 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,779 across 122 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
- 2005-11-16
- Last updated
- 2012-07-30
Frequently asked questions
- What is Sanjay Sheth's NPI number?
- Sanjay Sheth's National Provider Identifier (NPI) is 1285616383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Sheth's specialty?
- Sanjay Sheth is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Sheth located?
- Sanjay Sheth's practice location on file with NPPES is 940 Robbins Ave, Niles, OH 44446-2468.
- What is Sanjay Sheth's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Sheth is (330) 652-7973.
- Does Sanjay Sheth accept Medicare?
- Sanjay Sheth is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Sheth's NPI active?
- Yes — Sanjay Sheth's NPI (1285616383) is active in the NPPES registry as of the last update on 2012-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.