DR. SANJAY K GARG (M.B.B.S) – Pediatrics Physician, NPI 1679594055

DR. SANJAY K GARG (M.B.B.S) is a healthcare provider. based in Decatur, Illinois. specializing in Pediatrics Physician. They hold the professional credentials M.B.B.S. They hold a License No. 01058382A (IN). The NPI Number for DR. SANJAY K GARG (M.B.B.S) is 1679594055

Main info

Male
Name
DR. SANJAY K GARG (M.B.B.S)
NPI
1679594055
Phone
(217) 329-1000
Address
1730 E Lake Shore Dr
Enumeration Date
21 July 2006
Last Update Date
6 July 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DR. SANJAY K GARG (M.B.B.S)

  • 1730 E Lake Shore Dr

    Decatur, IL 625213809

    Phone: (217) 329-1000

    Fax: (217) 329-1055

    Type: Location

  • PO BOX 372

    MATTOON, IL 619380372

    Phone: (217) 868-2812

    Type: Mailing

  • 116 W BUCHANAN AVE

    CHARLESTON, IL 619202522

    Phone: (217) 345-7700

    Fax: (217) 345-7200

    Type: Location

  • 1730 E LAKE SHORE DR

    DECATUR, IL 625213809

    Phone: (217) 329-1000

    Fax: (217) 329-1055

    Type: Mailing

  • 215, South Hutchinson Avenue, River Landing Apartments, Muncie, Delaware County, Indiana, 47303, United States

    MUNCIE, IN 473034774

    Phone: (765) 716-4995

    Fax: (765) 587-4681

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Novo Nordisk Inc ($34).

Total Amount

$102

General + Research + Ownership

Payments

6

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2018-11-09

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
I20181109002128IPediatric MedicineILTBD

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 62521)

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Reviews

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Frequently asked questions

What identifier follows DR. SANJAY K GARG (M.B.B.S) across health systems?
The NPI 1679594055 uniquely identifies DR. SANJAY K GARG (M.B.B.S) in U.S. healthcare data.
Is DR. SANJAY K GARG (M.B.B.S)'s NPI status active today?
Active status means DR. SANJAY K GARG (M.B.B.S)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. SANJAY K GARG (M.B.B.S)?
NPPES ties DR. SANJAY K GARG (M.B.B.S) to Pediatrics Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. SANJAY K GARG (M.B.B.S)?
The directory associates DR. SANJAY K GARG (M.B.B.S) with Decatur, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains DR. SANJAY K GARG (M.B.B.S)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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