SANJAY MUGHAL (M.D.) – Hospitalist Physician, NPI 1538199781

SANJAY MUGHAL (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in HOSPITALIST. They hold the professional credentials M.D.. They hold a License No. 2004010178 (MO). The NPI Number for SANJAY MUGHAL (M.D.) is 1538199781

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
SANJAY MUGHAL (M.D.)
NPI
1538199781
Phone
(404) 851-8000
Address
1000 Johnson Ferry Rd
Enumeration Date
4 July 2006
Last Update Date
16 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185024720
Graduation Year
1989 (37 years ago)
PAC ID
9234187261
Group Practice PAC ID
8820900293
Professional Enrollment ID
I20150223001217
Address ID
OK741361902TU6161XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience93
Completeness75
Years active:19State licenses:5Digital endpointsOther names

1,281 HOSPITALIST in GA

Provider Addresses for SANJAY MUGHAL (M.D.)

  • 1000 Johnson Ferry Rd

    Atlanta, GA 303421606

    Phone: (404) 851-8000

    Fax: (404) 303-3759

    Type: Location

  • 6161 S Yale Ave

    Tulsa, OK 741361902

    Phone: (918) 502-1900

    Fax: (918) 494-6303

    Type: Location

  • 300 Rockefeller Dr

    Muskogee, OK 744015075

    Phone: (918) 502-1900

    Fax: (918) 494-6303

    Type: Location

  • Maryland Way, Williamsburg Estates, Brentwood, Williamson County, Tennessee, 37027, United States

    SUITE 300

    BRENTWOOD, TN 370275064

    Phone: (615) 377-5667

    Fax: (888) 241-1404

    Type: Mailing

  • UF Health Jacksonville, 655, West 8th Street, Jacksonville, Duval County, Florida, 32209, United States

    JACKSONVILLE, FL 322096511

    Phone: (904) 244-3850

    Fax: (904) 244-4799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 10 Medicare enrollment records; no due dates published yet.

Enrollment records

10

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
I20050106000602IInternal MedicineMOTBD
I20080306000465IHospitalistFLTBD
I20130405000380IInternal MedicineMITBD
I20150223001217IHospitalistOKTBD
I20190625002513IInternal MedicineSCTBD
I20200407000997IInternal MedicineWITBD
I20200527001403IInternal MedicineTNTBD
I20200901000393IHospitalistGATBD
I20220817000051IInternal MedicineNMTBD
I20230327002306IInternal MedicineTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes28281$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13549$0
99239Hospital discharge day management, more than 30 minutes4543$0
99238Hospital discharge day management, 30 minutes or less1515$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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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: 8820900293View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for SANJAY MUGHAL (M.D.)?
SANJAY MUGHAL (M.D.) — NPI 1538199781 — is the standard way to identify this listing.
Is SANJAY MUGHAL (M.D.) listed as active for patients and plans?
The listing shows SANJAY MUGHAL (M.D.) as active in the NPI system.
What taxonomy line describes SANJAY MUGHAL (M.D.)?
For research purposes, treat SANJAY MUGHAL (M.D.) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is SANJAY MUGHAL (M.D.) based?
SANJAY MUGHAL (M.D.) is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.
Why does SANJAY MUGHAL (M.D.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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