Sanjay Mughal, M.D.
NPI 1538199781 · Hospitalist Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Mughal, M.D. is a Hospitalist Physician provider in Jacksonville, FL (NPI 1538199781).
Provider details
- NPI number
- 1538199781
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2004010178 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,017 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 35 Minutes99232 | 700 | $74 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 170 | $110 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 129 | $106 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 18 | $121 |
Typical Medicare-allowed amounts for these services range $74–$121 (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 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 37 | 22 |
| Carvedilol | 25 | 14 |
| Apixabanbrand: Eliquis | 25 | 12 |
| Amlodipine Besylate | 22 | 14 |
| Furosemide | 18 | 12 |
| Gabapentin | 15 | — |
| Metoprolol Succinate | 15 |
Practice location
Mailing address
Additional practice locations (3)
- 1000 Johnson Ferry RdAtlanta, GA 30342-1606Phone: (404) 851-8000Fax: (404) 303-3759
- 300 Rockefeller DrMuskogee, OK 74401-5075Phone: (918) 502-1900Fax: (918) 494-6303
- 6161 S Yale AveTulsa, OK 74136-1902Phone: (918) 502-1900Fax: (918) 494-6303
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2024-02-16
- Certified
- 2024-02-16
Frequently asked questions
- What is Sanjay Mughal's NPI number?
- Sanjay Mughal's National Provider Identifier (NPI) is 1538199781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Mughal's specialty?
- Sanjay Mughal is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Mughal located?
- Sanjay Mughal's practice location on file with NPPES is 655 W 8th St, Jacksonville, FL 32209-6511.
- What is Sanjay Mughal's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Mughal is (904) 244-3850.
- Does Sanjay Mughal accept Medicare?
- Sanjay Mughal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Mughal's NPI active?
- Yes — Sanjay Mughal's NPI (1538199781) is active in the NPPES registry as of the last update on 2024-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.