SANGEETA MEHENDALE (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1417112665

SANGEETA MEHENDALE (MD) is a healthcare provider. based in Oak park, Illinois. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 036126889 (IL). The NPI Number for SANGEETA MEHENDALE (MD) is 1417112665

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
SANGEETA MEHENDALE (MD)
NPI
1417112665
Phone
Not provided
Address
821 WISCONSIN AVE
Enumeration Date
26 July 2008
Last Update Date
10 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474375500
Graduation Year
1989 (37 years ago)
PAC ID
6709031164
Group Practice PAC ID
5496928558
Professional Enrollment ID
I20130311000102
Address ID
IL600073361EL800XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

766 PATHOLOGY in IL

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Provider Addresses for SANGEETA MEHENDALE (MD)

  • Oak Park, Woodfield Pointe, Village of Plover, Portage County, Wisconsin, United States

    OAK PARK, IL 603041043

    Phone:

    Type: Mailing

  • 840, South Wood Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60608, United States

    CHICAGO, IL 606124325

    Phone: (312) 996-7000

    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: 2013-03-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130311000102IPathologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60304)

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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: 5496928558View full group profile
NameSpecialtyState
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
-IL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL

Reviews

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Frequently asked questions

What federal number belongs to SANGEETA MEHENDALE (MD)?
The federal identifier for SANGEETA MEHENDALE (MD) is NPI 1417112665.
Is SANGEETA MEHENDALE (MD) currently active in the NPI registry?
CMS-published data lists SANGEETA MEHENDALE (MD) as an active registrant.
What does SANGEETA MEHENDALE (MD) treat or focus on?
Patients typically see SANGEETA MEHENDALE (MD) under the specialty Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SANGEETA MEHENDALE (MD)?
The page summarizes Oak Park, Illinois for SANGEETA MEHENDALE (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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