Sanjay Patel
NPI 1295723575 · Sleep Medicine (Internal Medicine) Physician · Pittsburgh, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Patel is a Sleep Medicine (Internal Medicine) Physician provider in Pittsburgh, PA (NPI 1295723575).
Provider details
- NPI number
- 1295723575
- Entity type
- Individual
- Primary specialty
- Sleep Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- MD456301 (PA)
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
89 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 36 | $113 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 24 | $122 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 15 | $90 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 14 | $124 |
Typical Medicare-allowed amounts for these services range $90–$124 (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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Modafinil | 29 |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 28 |
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphetamine | 24 |
| Zolpidem Tartrate | 13 |
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphet Er | 12 |
| Suvorexantbrand: Belsomra | 11 |
| Pitolisant Hclbrand: Wakix | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32 across 1 record (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
- 2005-10-11
- Last updated
- 2021-05-24
Frequently asked questions
- What is Sanjay Patel's NPI number?
- Sanjay Patel's National Provider Identifier (NPI) is 1295723575, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Patel's specialty?
- Sanjay Patel is listed in the NPPES registry with a primary specialty of Sleep Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Patel located?
- Sanjay Patel's practice location on file with NPPES is 3601 5th Ave, Pittsburgh, PA 15213-3403.
- What is Sanjay Patel's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Patel is (412) 648-6161.
- Does Sanjay Patel accept Medicare?
- Sanjay Patel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Patel's NPI active?
- Yes — Sanjay Patel's NPI (1295723575) is active in the NPPES registry as of the last update on 2021-05-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.