SANJAY SARADHI BOMMAKANTI (MD) – Internal Medicine Physician, NPI 1114111002

SANJAY SARADHI BOMMAKANTI (MD) is a healthcare provider. based in Goodyear, Arizona. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 37252 (AZ). The NPI Number for SANJAY SARADHI BOMMAKANTI (MD) is 1114111002

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
SANJAY SARADHI BOMMAKANTI (MD)
NPI
1114111002
Phone
(623) 322-2144
Address
700 N ESTRELLA PKWY STE 130
Enumeration Date
4 September 2007
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6024286915
Graduation Year
2002 (24 years ago)
PAC ID
9335233063
Group Practice PAC ID
9830576354
Professional Enrollment ID
I20070925000628
Address ID
AZ853742437SU13945AVEX401
Telehealth
Yes

Contacts

Secure Messaging
sanjay.bommakanti.1@29601.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness95
Years active:18State licenses:1Other names

3,585 INTERNAL MEDICINE in AZ

Provider Addresses for SANJAY SARADHI BOMMAKANTI (MD)

  • 700 N ESTRELLA PKWY STE 130

    GOODYEAR, AZ 853389271

    Phone: (623) 322-2144

    Fax: (623) 322-1165

    Type: Mailing

  • 6101 BLUE LAGOON DR STE 200

    MIAMI, FL 331263168

    Phone: (305) 500-2000

    Type: Mailing

  • 14273 W GRAND AVE STE 100

    SURPRISE, AZ 853744361

    Phone: (623) 428-8189

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $246.

Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Abbott Laboratories ($49).

Total Amount

$246

General + Research + Ownership

Payments

13

Total payment records

General Amount

$246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070925000628IInternal MedicineAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes370170$0
36415Insertion of needle into vein for collection of blood sample191124$0
80053Blood test, comprehensive group of blood chemicals148102$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count12292$0
84443Blood test, thyroid stimulating hormone (tsh)9081$0
View full utilization report →

Insurance plans in this area (ZIP 85338)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830576354View full group profile
NameSpecialtyState
Clinical Social WorkerAZ
Physician AssistantAZ
Family PracticeNY
Family PracticeCA
Nurse PractitionerAZ
Internal MedicineAZ
Internal Medicine, Geriatric MedicineAZ
Internal MedicineAZ
Internal MedicineFL
Geriatric Medicine, Family PracticeAZ

Reviews

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Frequently asked questions

How do I look up SANJAY SARADHI BOMMAKANTI (MD) by NPI?
Use NPI 1114111002 when you need to reference SANJAY SARADHI BOMMAKANTI (MD) in forms, claims, or directories.
Is SANJAY SARADHI BOMMAKANTI (MD) active in the national directory?
SANJAY SARADHI BOMMAKANTI (MD)'s public NPI profile is in an active state.
What kind of provider is SANJAY SARADHI BOMMAKANTI (MD)?
The page reflects Internal Medicine Physician for SANJAY SARADHI BOMMAKANTI (MD). Clinical services aligned with this taxonomy classification.
Does SANJAY SARADHI BOMMAKANTI (MD) practice in Arizona?
You will see Goodyear, Arizona on file for SANJAY SARADHI BOMMAKANTI (MD) alongside any extra practice locations.
How can I contact SANJAY SARADHI BOMMAKANTI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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