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SANJAY A PATWARDHAN M.D.
NPI 1073583803
Internal Medicine in Chesterfield, MO

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
14314 MANDERLEIGH WOODS DR, CHESTERFIELD, MO 63017(636) 566-8155(314) 576-0809 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sanjay A Patwardhan M.d. NPPES

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

SANJAY A PATWARDHAN M.D. (NPI 1073583803) is an individual internal medicine provider in Chesterfield, Missouri, licensed in Missouri (107804) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1073583803
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANJAY A PATWARDHANCredential: M.D.
Location Address14314 MANDERLEIGH WOODS DRChesterfield, MO 63017-8055
Mailing AddressPo Box 958946Saint Louis, MO 63195-8946 · Fax (314) 576-0809
Phone(636) 566-8155
Fax(314) 576-0809
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 24, 2006
Last NPPES UpdateDecember 6, 2013
✔ NPI 1073583803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 107804
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.
Also ListedHospitalistTaxonomy 208M00000X · License 107804 (MO)
14314 MANDERLEIGH WOODS DR, Chesterfield, MO 63017
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Other Identifiers 3

Medicare PIN139000042MO
Medicaid1073583803MO
Medicaid1073583803IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

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

Sanjay A Patwardhan M.d. 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 ID1153307582
PECOS Enrollment IDI20040626000339
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 Reassignments

4

Medicare enrollment records show Sanjay Patwardhan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Midwest Medicine Group, LLC
Same address
Internal Medicine
14314 MANDERLEIGH WOODS DR
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 3 clinicians in this Medicare group
NPI 1528336518 (636) 566-8155
Physician Specialists Of St Lukes LLC
1.4 mi
Internal Medicine
232 S WOODS MILL RD
Chesterfield, MO 63017
  • Reassigned Medicare billing, Missouri enrollment
  • 215 clinicians in this Medicare group
NPI 1235168410 (314) 434-1500
Sound Physicians Of Illinois, LLC
9.2 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 301 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
St Anthonys Physician Organization Hospitalist Services, L.C.
12 mi
Hospitalist
10010 KENNERLY RD, 3 SOUTHBRIDGE
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
  • 340 clinicians in this Medicare group
NPI 1407216336 (314) 525-1328

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
839 services171 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
224 services71 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
170 services156 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
97 services64 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
78 services50 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
51 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$68.54 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$34.25 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
6 suppliers65 claims66 services$16.11 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$38.55 avg. paid by Medicare
Elevating footrests, articulating (telescoping), each K0053
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$6.35 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers17 claims17 services$8.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MIDWEST MEDICINE GROUP, LLC
Internal Medicine
14314 MANDERLEIGH WOODS DR
CHESTERFIELD, MO 63017
St. Louis County (636) 566-8155
DR. MANISHA S PATWARDHAN M.D.
Internal Medicine (Adolescent Medicine)
14314 MANDERLEIGH WOODS DR
CHESTERFIELD, MO 63017
St. Louis County (636) 566-8155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjay Patwardhan's NPI number?

The NPI number for Sanjay Patwardhan is 1073583803. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Sanjay Patwardhan located?

Sanjay Patwardhan practices at 14314 Manderleigh Woods Dr, Chesterfield, MO 63017. The listed phone number is (636) 566-8155.

What is Sanjay Patwardhan's specialty?

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

Is Sanjay Patwardhan enrolled in Medicare?

Yes. Sanjay Patwardhan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Sanjay Patwardhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Patwardhan reassigns Medicare benefits to 4 organizations: Midwest Medicine Group, LLC (Chesterfield, MO), Physician Specialists Of St Lukes LLC (Chesterfield, MO), Sound Physicians Of Illinois, LLC (Bridgeton, MO) and St Anthonys Physician Organization Hospitalist Services, L.C. (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanjay Patwardhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Patwardhan accept?

Health plans from Oscar Insurance Company list Sanjay Patwardhan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sanjay Patwardhan was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.