SANJEEV S TENDOLKAR MD LLC
NPI 1174878227
Family Medicine in Loganville, GA
About Sanjeev S Tendolkar Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANJEEV S TENDOLKAR MD LLC (NPI 1174878227) is a healthcare organization registered as a family medicine in Loganville, Georgia and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Sanjeev Tendolkar, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sanjeev S Tendolkar Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Sanjeev S Tendolkar MD LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D0257792
Sanjeev S Tendolkar MD LLC · Loganville, GAFrequently 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 Sanjeev S Tendolkar MD LLC's NPI number?
The NPI number for Sanjeev S Tendolkar MD LLC is 1174878227. It was assigned to this organization in the NPPES registry on July 16, 2012.
Where is Sanjeev S Tendolkar MD LLC located?
Sanjeev S Tendolkar MD LLC is located at 4589 Lawrenceville Rd, Loganville, GA 30052. The listed phone number is (770) 466-8672.
What is Sanjeev S Tendolkar MD LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sanjeev S Tendolkar MD LLC enrolled in Medicare?
Yes. Sanjeev S Tendolkar MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sanjeev S Tendolkar MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Sanjeev S Tendolkar MD LLC. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sanjeev S Tendolkar MD LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0257792) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Sanjeev S Tendolkar MD LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Sanjeev S Tendolkar MD LLC 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 Sanjeev S Tendolkar MD LLC was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Sanjeev S Tendolkar Md Llc · NPI 1174878227
Family Medicine organization in Loganville, Georgia. Organization record, active in the CMS NPPES registry since July 16, 2012.
## Identity
- **NPI:** 1174878227 (Entity type: Organization)
- **Enumerated:** July 16, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Sanjeev Tendolkar, PRESIDENT
## Practice location
- **Address:** 4589 LAWRENCEVILLE RD, Loganville, GA 30052-7320
- **Phone:** (770) 466-8672
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1174878227) · Data from the CMS NPPES public registry.