DR. SANJAY PETHKAR (M.D.) – Internal Medicine Physician, NPI 1134181829
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
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Provider Addresses for DR. SANJAY PETHKAR (M.D.)
Naperville Post Office, 1750, West Ogden Avenue, Naperville, Naperville Township, DuPage County, Illinois, 60540, United States
NAPERVILLE, IL 605670200
Phone: (815) 609-3627
Fax: (815) 609-1328
Type: Mailing
IL 59, Plainfield, Will County, Illinois, 60585, United States
PLAINFIELD, IL 605855676
Phone: (815) 609-3627
Fax: (815) 609-1328
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2024-08-22 • Largest payer in this snapshot: Lilly USA, LLC ($39).
Total Amount
$62
General + Research + Ownership
Payments
3
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $39 |
| Novo Nordisk Inc | $23 |
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: 2007-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070911000401 | I | Internal Medicine | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1,016 | 102 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 359 | 125 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 100 | 58 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 84 | 84 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 83 | 83 | $0 |
Insurance plans in this area (ZIP 60567)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Family Practice | IL |
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