DR. SANDEEP KUMAR JEWANI MD
NPI 1245627546
Internal Medicine - Pulmonary Disease in Louisville, KY

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment
87.01/100
CMS Quality Rating
4003 KRESGE WAY STE 312, LOUISVILLE, KY 40207(502) 899-7377(502) 899-1972 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2024, Aug 15, 2022, Mar 14, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Sandeep Kumar Jewani Md NPPES

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

DR. SANDEEP KUMAR JEWANI MD (NPI 1245627546) is an individual pulmonary disease provider in Louisville, Kentucky, licensed in Kentucky (58035) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and is a graduate of Wayne State University School Of Medicine (2015).

NPPES Registry Identity

NPI1245627546
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SANDEEP KUMAR JEWANICredential: MD
Location Address4003 KRESGE WAY STE 312Louisville, KY 40207-4652
Mailing Address225 S Harrison St Apt 209Denver, CO 80209-3379 · (810) 488-6689
Fax(502) 899-1972
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 2015
Enumeration DateApril 24, 2015
Last NPPES UpdateMarch 5, 20244 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
NPI 1245627546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in KY · 58035 Licensed in CO · CDR.0001491
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036148142 (IL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 58035 (KY), CDR.0001491 (CO)
Also ListedHospitalistTaxonomy 208M00000X · License 036148142 (IL)
4003 KRESGE WAY STE 312, Louisville, KY 40207

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 and accepts Medicare assignment

Dr. Sandeep Kumar Jewani Md 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 ID7810290624
PECOS Enrollment IDI20230718002793
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.

Areas of Expertise CMS Part B claims 26

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
402 services240 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
357 services168 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
273 services166 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
179 services98 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
96 services81 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
94 services92 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86
Promoting Interoperability99
Improvement Activities40
Cost65.1

Other Providers at the Same Location NPPES 14

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

Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Nurse Practitioner (Acute Care)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Nurse Practitioner
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Nurse Practitioner (Family)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207
Internal Medicine (Pulmonary Disease)
4003 KRESGE WAY STE 312
LOUISVILLE, KY 40207

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 Sandeep Jewani's NPI number?

The NPI number for Sandeep Jewani is 1245627546. It was assigned to this individual provider in the NPPES registry on April 24, 2015.

Where is Sandeep Jewani located?

Sandeep Jewani practices at 4003 Kresge Way Ste 312, Louisville, KY 40207. The listed phone number is (502) 899-7377.

What is Sandeep Jewani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sandeep Jewani enrolled in Medicare?

Yes. Sandeep Jewani 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.

What insurance does Sandeep Jewani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Sandeep Jewani 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.

Is Sandeep Jewani affiliated with any hospitals?

According to CMS data, Sandeep Jewani is affiliated with Baptist Health Floyd, Baptist Health Hardin, UofL Health - Shelbyville Hospital, Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Sandeep Jewani was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.