DR. SANJAY AGARWAL (DO) – Dermatology Physician, NPI 1114548864

DR. SANJAY AGARWAL (DO) is a healthcare provider. based in Dearborn, Michigan. specializing in DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 5151014311 (MI). The NPI Number for DR. SANJAY AGARWAL (DO) is 1114548864

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANJAY AGARWAL (DO)
NPI
1114548864
Phone
Not provided
Address
18101 OAKWOOD BLVD
Enumeration Date
5 May 2020
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136623376
Graduation Year
2020 (6 years ago)
PAC ID
5991126930
Group Practice PAC ID
3779658786
Professional Enrollment ID
I20240815000456
Address ID
FL335117401BR405XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for DR. SANJAY AGARWAL (DO)

  • 18101 OAKWOOD BLVD

    DEARBORN, MI 481244089

    Phone:

    Type: Mailing

  • 405 W BLOOMINGDALE AVE

    BRANDON, FL 335117401

    Phone: (813) 662-3376

    Type: Mailing

  • 5450 FORT ST

    TRENTON, MI 481834601

    Phone: (912) 816-8243

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 86 Open Payments records for all available years, with a total value of $4,528.

Total Amount is formed as General ($4,528) + Research ($0) + Ownership ($0) = $4,528.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($663).

Total Amount

$4,528

General + Research + Ownership

Payments

86

Total payment records

General Amount

$4,528

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-08-15

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
I20240815000456IDermatologyFLTBD

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 48124)

Loading plans...

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: 3779658786View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
Physician AssistantFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
D E R M A T O L O G YMS

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for DR. SANJAY AGARWAL (DO) in the U.S.?
In the U.S., DR. SANJAY AGARWAL (DO) is identified by NPI 1114548864.
Is DR. SANJAY AGARWAL (DO)'s NPI status active today?
Active status means DR. SANJAY AGARWAL (DO)'s NPI record is not deactivated in the public file.
What does the directory say DR. SANJAY AGARWAL (DO) does?
Insurance directories may phrase it differently, but here DR. SANJAY AGARWAL (DO) maps to Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is DR. SANJAY AGARWAL (DO) tied to Dearborn, Michigan?
If you are local to Dearborn, Michigan, DR. SANJAY AGARWAL (DO) may be relevant to your search.
Can I export DR. SANJAY AGARWAL (DO)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

DR. JOSEPH W MCGOEY (M.D.)

Dermatology Physician
Henry Ford Medical Center - Ford Road, 5500, Auto Club Drive, Dearborn, Wayne County, Michigan, 48126, United States
NPI: 1497732325
2051, Monroe Street, Southwestern Outer Drive, Ford Homes Historic District, Dearborn, Wayne County, Michigan, 48124, United States
NPI: 1467422923

JOHANNA CHAPEL (MD)

Dermatology Physician
Dearborn Post Office, 23169, Michigan Avenue, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States
NPI: 1417922030

THOMAS AUSTIN CHAPEL (MD)

Dermatology Physician
Dearborn Post Office, 23169, Michigan Avenue, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States
NPI: 1619936705

KAREN LYNN CHAPEL (M.D.)

Dermatology Physician
Dearborn Post Office, 23169, Michigan Avenue, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States
NPI: 1639138720

OAKWOOD AMBULATORY LLC

Internal Medicine Physician
Beaumont Hospital - Dearborn, 18101, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States
NPI: 1003829441

DR. BRENDA LEE PELLICANE (M.D.)

Dermatology Physician
11300 ROCKVILLE PIKE STE 911
NPI: 1457495848

DR. FARID A NASSER (M.D., RPH.)

Dermatology Physician
25101 FORD RD
NPI: 1740497700

JENNIFER HEYL (MD)

Dermatology Physician
OAKWOOD HOSPITAL & MEDICAL CENTER
NPI: 1366642837