DR. SANKET NAYYAR MD MPH
NPI 1043951551
Internal Medicine in Bowling Green, KY

Q: What is Sanket Nayyar's NPI number?

The NPI number for Sanket Nayyar is 1043951551. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Sanket Nayyar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sanket Nayyar was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment

250 PARK ST, BOWLING GREEN, KY 42101(270) 796-6540 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Sanket Nayyar Md Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANKET NAYYAR MD MPH (NPI 1043951551) is an individual internal medicine provider in Bowling Green, Kentucky, licensed in Kentucky (TP560) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Meharry Medical College School Of Medicine (2021).

NPPES Registry Identity

NPI1043951551

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SANKET NAYYARCredential: MD MPH

Location Address250 PARK STBowling Green, KY 42101-1760

Mailing AddressPo Box 2697Bowling Green, KY 42102-7697 · (270) 796-6540

Phone(270) 796-6540

Sole ProprietorYes

Medical School CMSMeharry Medical College School Of MedicineGraduated 2021

Enumeration DateApril 6, 2022

Last NPPES UpdateAugust 21, 2025

NPPES CertifiedAugust 21, 2025

✔ NPI 1043951551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · TP560

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

250 PARK ST, Bowling Green, KY 42101

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanket Nayyar Md Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496132250

PECOS Enrollment IDI20250910000374

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sanket Nayyar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Health Corporation, Inc

0.1 mi

Family

350 PARK ST STE 106
Bowling Green, KY 42101

Reassigned Medicare billing, Kentucky enrollment
319 clinicians in this Medicare group

NPI 1215521802 (270) 721-7265

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180013

Location250 Park StreetBowling Green, KY 42101 · Warren County

Emergency services Birthing friendly

The Medical Center At Franklin

Critical Access Hospitals · Franklin, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181318

Location1100 Brookhaven RoadFranklin, KY 42135 · Simpson County

Emergency services

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181324

Location456 Burnley RoadScottsville, KY 42164 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTIAN MICHAEL KRANZ CRNA

Nurse Anesthetist, Certified Registered