SANJAY G. REVANKAR M.D.
NPI 1144267634
Internal Medicine - Infectious Disease in Detroit, MI

Q: What is Sanjay Revankar's NPI number?

The NPI number for Sanjay Revankar is 1144267634. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Sanjay Revankar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Revankar was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 01, 2006PECOS Enrolled

3901 CHRYSLER DR, SUITE 4A, DETROIT, MI 48201(313) 745-4525(313) 577-3223 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sanjay G. Revankar M.d. NPPES

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

SANJAY G. REVANKAR M.D. (NPI 1144267634) is an individual infectious disease provider in Detroit, Michigan, licensed in Michigan (4301057946) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144267634

Entity TypeIndividualMale

Primary Taxonomy207RI0200X

Provider Legal NameSANJAY G. REVANKARCredential: M.D.

Location Address3901 CHRYSLER DR, SUITE 4ADetroit, MI 48201-2167

Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1189 · (248) 581-5972 · Fax (248) 581-5640

Phone(313) 745-4525

Fax(313) 577-3223

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateApril 18, 2016

✔ NPI 1144267634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in MI · 4301057946

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301057946 (MI)

3901 CHRYSLER DR, Detroit, MI 48201

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Other Identifiers 6

Medicare UPINI50030

Medicare PIN0P30630300MI

Other700H262220Blue Cross-blue Cross

OtherSR057946Champus-champus

OtherSR057946Commercial-commercial Number

Medicaid488412910MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sanjay G. Revankar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sanjay Revankar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physician Group

Same address

Counselor

3901 CHRYSLER DR, TOLAN PARK
Detroit, MI 48201

Reassigned Medicare billing, Michigan enrollment
731 clinicians in this Medicare group

NPI 1447465661 (313) 993-3434

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

NICOLE WOZNICKI NP

Nurse Practitioner (Women's Health)

3901 CHRYSLER DR
DETROIT, MI 48201

Wayne County (313) 966-7601

DR. AMIRA KAMOO MD

Student in an Organized Health Care Education/Training Program

3901 CHRYSLER DR
DETROIT, MI 48201

Wayne County (313) 577-0714

AAYAH MOHAMED-OSMAN DO

Student in an Organized Health Care Education/Training Program

3901 CHRYSLER DR
DETROIT, MI 48201

Wayne County (313) 577-7523

DR. REBECCA WIGHT BILICH MD

Student in an Organized Health Care Education/Training Program

3901 CHRYSLER DR
DETROIT, MI 48201

Wayne County (734) 546-9524

SHIVANI ANJALI KAUSHAL MD

Student in an Organized Health Care Education/Training Program

3901 CHRYSLER DR
DETROIT, MI 48201

Wayne County (313) 577-7523

GERALD BURNS CNP, ACRN, MSN, CS

Nurse Practitioner (Acute Care)

3901 CHRYSLER DR, SUITE 4A
DETROIT, MI 48201

Wayne County (313) 745-4525

EVA WAINEO MD

Psychiatry & Neurology (Psychiatry)

3901 CHRYSLER DR
DETROIT, MI 48201

Wayne County (313) 577-1396

ORION MYHRE DO

Student in an Organized Health Care Education/Training Program

3901 CHRYSLER DR
DETROIT, MI 48201

Wayne County (313) 577-7523

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 Revankar's NPI number?

The NPI number for Sanjay Revankar is 1144267634. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Sanjay Revankar located?

Sanjay Revankar practices at 3901 Chrysler Dr Suite 4A, Detroit, MI 48201. The listed phone number is (313) 745-4525.

What is Sanjay Revankar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Sanjay Revankar enrolled in Medicare?

Yes. Sanjay Revankar is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sanjay Revankar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Revankar reassigns Medicare benefits to University Physician Group (Detroit, MI). The 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 Revankar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sanjay Revankar was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.