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DR. SANJAY MANDAVA MD
NPI 1386579431
Internal Medicine in Springfield, IL

Active since June 17, 2026PECOS Enrolled
751 N RUTLEDGE ST RM 1100, SPRINGFIELD, IL 62702(217) 545-3134 Get Directions Write a Review

NPPES record last updated: June 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sanjay Mandava Md NPPES

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

DR. SANJAY MANDAVA MD (NPI 1386579431) is an individual internal medicine provider in Springfield, Illinois, licensed in Illinois (125088498) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386579431
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANJAY MANDAVACredential: MD
Location Address751 N RUTLEDGE ST RM 1100Springfield, IL 62702-4968
Mailing AddressPo Box 19636Springfield, IL 62794-9636 · (217) 545-8000 · Fax (217) 545-9730
Phone(217) 545-3134
Sole ProprietorNo
Enumeration DateJune 17, 2026
Last NPPES UpdateJune 20, 2026
NPPES CertifiedJune 20, 2026
✔ NPI 1386579431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 125088498
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
751 N RUTLEDGE ST RM 1100, Springfield, IL 62702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanjay Mandava Md 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 62702 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

MURTAZA JATOI MD
Internal Medicine
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
SETH BRYAN YATES DO
Internal Medicine
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ZAKRIYA SHAH
Internal Medicine
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
VIJAY SAI KOLLIPARA
Internal Medicine
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
RUKHMA TAUFIQUE
Internal Medicine
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ASSAD ADEL ELSHEIKH MD
Internal Medicine
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
HEJAB SYED MD
Internal Medicine
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
GIZEM ISIKTAS
Psychiatry & Neurology (Neurology)
751 N RUTLEDGE ST RM 1100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Mandava's NPI number?

The NPI number for Sanjay Mandava is 1386579431. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Sanjay Mandava located?

Sanjay Mandava practices at 751 N Rutledge St Rm 1100, Springfield, IL 62702. The listed phone number is (217) 545-3134.

What is Sanjay Mandava's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sanjay Mandava enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sanjay Mandava was last updated on June 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.