NPI Details
DR. Sanjay Pethkar, M.D. is an internal medicine in Plainfield, IL with 36 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Sanjay Pethkar, M.D. NPI is 1134181829. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
13415 S ROUTE 59
PLAINFIELD, IL
ZIP 60585-676
Phone: (815) 609-3627
Fax: (815) 609-1328
The NPI 1134181829 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 14D1010978 - physician office with a certificate type of Certificate of Waiver.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
- Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment (HCPCS:95250)
- Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report (HCPCS:95251)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Hospital discharge day management, 30 minutes or less (HCPCS:99238)
- Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
- Blood glucose (sugar) level (HCPCS:82947)
- Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month (HCPCS:99491)
- Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
- Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) (HCPCS:G0506)
- Automated urinalysis test (HCPCS:81003)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Hospital discharge day management, more than 30 minutes (HCPCS:99239)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
The enumeration date for this NPI number is 4/6/2006 and was last updated on 11/15/2011.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 036091255 | ILLINOIS | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | G47003 | MEDICARE UPIN | ILLINOIS | |
| 2 | 036091255 | MEDICAID | ILLINOIS | |
| 3 | K40950 | MEDICARE PIN | | |
