SANJAY KARATAM M.D.
NPI 1356874416
Hospitalist in Bradenton, FL

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
2020 59TH ST W, BRADENTON, FL 34209(941) 792-6611 Get Directions Write a Review

NPPES record last updated: September 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 5, 2020, Jul 11, 2017 (2 updates tracked since 2017).

About Sanjay Karatam M.d. NPPES

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

SANJAY KARATAM M.D. (NPI 1356874416) is an individual hospitalist provider in Bradenton, Florida, licensed in Florida (ME145395) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356874416
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANJAY KARATAMCredential: M.D.
Location Address2020 59TH ST WBradenton, FL 34209-4604
Mailing Address5380 Tech Data Dr Ste 101Clearwater, FL 33760-3122 · (800) 507-8874
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 6, 2017
Last NPPES UpdateSeptember 5, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2020
NPI 1356874416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME145395
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

2020 59TH ST W, Bradenton, FL 34209

Other Identifiers 1

OtherFK9382879FL · Medical License

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

Sanjay Karatam 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 ID4082941984
PECOS Enrollment IDI20200511002227
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 7

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 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.
534 services244 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.
404 services208 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
168 services158 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
138 services135 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
134 services128 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.
28 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Hca Florida Aventura Hospital

Acute Care Hospitals · Aventura, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100131
Location20900 Biscayne BlvdAventura, FL 33180 · Miami-Dade County
Emergency services

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

Hca Florida Poinciana Hospital

Acute Care Hospitals · Kissimmee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100320
Location325 Cypress PkwyKissimmee, FL 34758 · Osceola County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34209 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%126 patients3/55-star benchmark: 99%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers60 claims60 services$16.40 avg. paid by Medicare
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
3 suppliers60 claims60 services$86.86 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 20

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

Emergency Medicine
2020 59TH ST W
BRADENTON, FL 34209
Internal Medicine
2020 59TH ST W
BRADENTON, FL 34209
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Hospitalist
2020 59TH ST W
BRADENTON, FL 34209
Occupational Therapist
2020 59TH ST W
BRADENTON, FL 34209
Radiology (Diagnostic Radiology)
2020 59TH ST W
BRADENTON, FL 34209
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209

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 Karatam's NPI number?

The NPI number for Sanjay Karatam is 1356874416. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Sanjay Karatam located?

Sanjay Karatam practices at 2020 59th St W, Bradenton, FL 34209. The listed phone number is (941) 792-6611.

What is Sanjay Karatam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sanjay Karatam enrolled in Medicare?

Yes. Sanjay Karatam 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 Sanjay Karatam accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Sanjay Karatam 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 Sanjay Karatam affiliated with any hospitals?

According to CMS data, Sanjay Karatam is affiliated with Hca Florida Highlands Hospital, Hca Florida Aventura Hospital, Hca Florida Mercy Hospital, Hca Florida Lawnwood Hospital and Hca Florida Poinciana Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Karatam was last updated on September 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.