SANJAY VASUDEVA (MD) – Emergency Medicine Physician, NPI 1659348845

SANJAY VASUDEVA (MD) is a healthcare provider. based in South bend, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 01044609 (IN). The NPI Number for SANJAY VASUDEVA (MD) is 1659348845

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
SANJAY VASUDEVA (MD)
NPI
1659348845
Phone
(574) 271-2558
Address
4755 AMERITECH DR
Enumeration Date
7 March 2006
Last Update Date
17 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3177730760
Graduation Year
1988 (38 years ago)
PAC ID
2961417241
Group Practice PAC ID
1153216627
Professional Enrollment ID
I20060207000870
Address ID
IN460372838FI9690XSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,268 EMERGENCY MEDICINE in IN

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Provider Addresses for SANJAY VASUDEVA (MD)

  • 4755, Ameritech Drive, South Bend, Saint Joseph County, Indiana, 46628, United States

    SOUTH BEND, IN 466289120

    Phone: (574) 271-2558

    Type: Mailing

  • Elkhart General Hospital, 600, East Boulevard, Elkhart, Elkhart County, Indiana, 46514, United States

    ELKHART, IN 465142483

    Phone: (574) 523-3161

    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: 2015-04-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060207000870IEmergency MedicineINTBD
I20150425000330IEmergency MedicineFLTBD

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
99283Emergency department visit with low level of medical decision making1514$0
99284Emergency department visit with moderate level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 46628)

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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: 1153216627View full group profile
NameSpecialtyState
-IL
Emergency MedicineIN
Internal MedicineIL
Nurse PractitionerIN
-OH
Emergency MedicineIN
Orthopedic SurgeryIN
Physician AssistantPA
Emergency MedicineTN
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does SANJAY VASUDEVA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SANJAY VASUDEVA (MD) uses 1659348845.
Can I rely on SANJAY VASUDEVA (MD) being an active provider?
As of the registry snapshot, SANJAY VASUDEVA (MD) is marked active.
What is SANJAY VASUDEVA (MD)'s specialty?
The listing groups SANJAY VASUDEVA (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SANJAY VASUDEVA (MD)?
SANJAY VASUDEVA (MD)'s geographic hint is South Bend, Indiana in our summary view.
Is the information about SANJAY VASUDEVA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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