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

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: August 02, 2026.

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
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

Other Identifiers 6

Medicare UPINI50030
Medicare PIN0P30630300MI
Other700H262220Blue Cross-blue Cross
OtherSR057946Champus-champus
OtherSR057946Commercial-commercial Number
Medicaid488412910MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Nurse Practitioner (Women's Health)
3901 CHRYSLER DR
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201
Nurse Practitioner (Acute Care)
3901 CHRYSLER DR, SUITE 4A
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR
DETROIT, MI 48201

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.

What insurance does Sanjay Revankar accept?

Health plans from McLaren Health Plan Community list Sanjay Revankar 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 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.