Sanjay Paudel, MD
NPI 1396360988 · Internal Medicine Physician · Springfield, MA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Paudel, MD is a Internal Medicine Physician provider in Springfield, MA (NPI 1396360988).
Provider details
- NPI number
- 1396360988
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 1014718 (MA)
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 tenure28% of score
6 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
869 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 50 Minutes99233 | 365 | $117 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 266 | $78 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 155 | $113 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 42 | $171 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 28 | $49 |
| Critical Care, First 30-74 Minutes99291 | 13 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 26 | 17 |
| Oxycodone Hcl | 22 | 21 |
| Prednisone | 20 | 20 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 19 | 19 |
| Apixabanbrand: Eliquis | 19 | — |
| Furosemide | 18 | — |
| Clopidogrel Bisulfate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-10
- Last updated
- 2023-07-21
- Certified
- 2023-07-21
Frequently asked questions
- What is Sanjay Paudel's NPI number?
- Sanjay Paudel's National Provider Identifier (NPI) is 1396360988, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Paudel's specialty?
- Sanjay Paudel is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Paudel located?
- Sanjay Paudel's practice location on file with NPPES is 759 Chestnut St Ste C3350, Springfield, MA 01107-1619.
- What is Sanjay Paudel's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Paudel is (413) 794-6297.
- Does Sanjay Paudel accept Medicare?
- Sanjay Paudel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Paudel's NPI active?
- Yes — Sanjay Paudel's NPI (1396360988) is active in the NPPES registry as of the last update on 2023-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.