Sanjay Vadgama, M.D.
NPI 1679548556 · Pulmonary Disease Physician · Sherman Oaks, CA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sanjay Vadgama, M.D. is a Pulmonary Disease Physician provider in Sherman Oaks, CA (NPI 1679548556).
Provider details
- NPI number
- 1679548556
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A80650 (CA)
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
4,336 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 35 Minutes99232 | 3,203 | $81 |
| Critical Care, First 30-74 Minutes99291 | 575 | $216 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 264 | $179 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 150 | $138 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 64 | $114 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Apixabanbrand: Eliquis | 63 | — |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 48 | 12 |
| Budesonide/Glycopyr/Formoterolbrand: Breztri Aerosphere | 44 | — |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 42 | — |
| Prednisone | 40 | 13 |
| Atorvastatin Calcium | 35 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,777 across 66 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
- 2006-02-22
- Last updated
- 2007-11-01
Frequently asked questions
- What is Sanjay Vadgama's NPI number?
- Sanjay Vadgama's National Provider Identifier (NPI) is 1679548556, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sanjay Vadgama's specialty?
- Sanjay Vadgama is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Sanjay Vadgama located?
- Sanjay Vadgama's practice location on file with NPPES is 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801.
- What is Sanjay Vadgama's phone number?
- The practice phone number listed in the NPPES registry for Sanjay Vadgama is (818) 325-0200.
- Does Sanjay Vadgama accept Medicare?
- Sanjay Vadgama is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sanjay Vadgama's NPI active?
- Yes — Sanjay Vadgama's NPI (1679548556) is active in the NPPES registry as of the last update on 2007-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.