SANJU J DAFTARI (MD) – Family Medicine Physician, NPI 1013955764

SANJU J DAFTARI (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01048910 (IN). The NPI Number for SANJU J DAFTARI (MD) is 1013955764

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
SANJU J DAFTARI (MD)
NPI
1013955764
Phone
Not provided
Address
6626 E 75TH ST
Enumeration Date
3 June 2006
Last Update Date
13 April 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
4082803960
Group Practice PAC ID
1759416662
Professional Enrollment ID
I20110107000110
Address ID
IN460605006NO9669XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

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Provider Addresses for SANJU J DAFTARI (MD)

  • Hocker & Associates, 6626, East 75th Street, Indianapolis, Indiana, 46250, United States

    SUITE 500

    INDIANAPOLIS, IN 462502805

    Phone:

    Type: Mailing

  • 11911, North Meridian Street, Carmel, Hamilton County, Indiana, 46032, United States

    SUITE 150

    CARMEL, IN 460326904

    Phone: (317) 621-6701

    Fax: (317) 621-6707

    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: 2011-01-07

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
I20110107000110IFamily PracticeINTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7171$0
99203New patient office or other outpatient visit, 30-44 minutes3535$0
87804Detection test by immunoassay with direct visual observation for influenza virus3015$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus2727$0
99202New patient office or other outpatient visit, 15-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 46250)

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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: 1759416662View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for SANJU J DAFTARI (MD)?
SANJU J DAFTARI (MD) — NPI 1013955764 — is the standard way to identify this listing.
Is SANJU J DAFTARI (MD) still practicing?
SANJU J DAFTARI (MD) is currently listed as active in the public NPI registry.
What is SANJU J DAFTARI (MD)'s primary classification?
Family Medicine Physician is the headline specialty for SANJU J DAFTARI (MD) here. Clinical services aligned with this taxonomy classification.
What area does SANJU J DAFTARI (MD) serve?
SANJU J DAFTARI (MD)'s listing highlights Indianapolis, Indiana; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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