SANJANA DALAL (OD) – Optometrist, NPI 1477442929

SANJANA DALAL (OD) is a healthcare provider. based in Munster, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 18004597A (IN). The NPI Number for SANJANA DALAL (OD) is 1477442929

Main info

Organization
1 Year Of Experience
Accepts Medicare Assignment
Name
SANJANA DALAL (OD)
NPI
1477442929
Phone
Not provided
Address
630 RIDGE RD
Enumeration Date
30 June 2025
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2198361738
Graduation Year
2025 (1 year ago)
PAC ID
2365944980
Group Practice PAC ID
3577637974
Professional Enrollment ID
I20250904000656
Address ID
IN463211610MU630XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for SANJANA DALAL (OD)

  • 630 RIDGE RD

    MUNSTER, IN 463211610

    Phone:

    Mailing address matches the actual address.

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: 2025-09-04

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
I20250904000656IOptometryINTBD

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 46321)

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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: 3577637974View full group profile
NameSpecialtyState
O P T O M E T R YIN
-IN
O P T O M E T R YIN

Reviews

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Frequently asked questions

What identifier follows SANJANA DALAL (OD) across health systems?
The NPI 1477442929 uniquely identifies SANJANA DALAL (OD) in U.S. healthcare data.
Does the public listing show SANJANA DALAL (OD) as active?
SANJANA DALAL (OD)'s NPI record reflects an active status in NPPES.
How should patients interpret SANJANA DALAL (OD)'s specialty?
The extract shows Optometrist for SANJANA DALAL (OD). Clinical services aligned with this taxonomy classification.
Can patients visit SANJANA DALAL (OD) in Munster, Indiana?
For routing, start with Munster, Indiana for SANJANA DALAL (OD), then verify phone and hours locally.
Who maintains SANJANA DALAL (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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