SANJEEV DATTATRAYA ATHALE MD
NPI 1407836935
Radiology - Diagnostic Radiology in Camden, NJ
About Sanjeev Dattatraya Athale Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANJEEV DATTATRAYA ATHALE MD (NPI 1407836935) is an individual diagnostic radiology provider in Camden, New Jersey, licensed in New Jersey (25MA11615900) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains 5 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 5
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sanjeev Dattatraya Athale 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.
Medicare Billing Reassignments
27Medicare enrollment records show Sanjeev Athale reassigns Medicare billing to 27 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- 95 clinicians in this Medicare group
Cherry Hill, NJ 08034
- Reassigned Medicare billing, New Jersey enrollment
- 133 clinicians in this Medicare group
Manahawkin, NJ 08050
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Toms River, NJ 08755
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, California and New Jersey enrollments
- 4 clinicians in this Medicare group
East Orange, NJ 07018
- Reassigned Medicare billing, New Jersey enrollment
- 66 clinicians in this Medicare group
Paterson, NJ 07503
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Teaneck, NJ 07666
- Reassigned Medicare billing, New Jersey enrollment
- 47 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 63
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cooper University Hospital
Acute Care Hospitals · Camden, NJSt Joseph's University Medical Center Inc
Acute Care Hospitals · Paterson, NJRiverview Medical Center
Acute Care Hospitals · Red Bank, NJOcean Medical Center
Acute Care Hospitals · Brick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
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.
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 Sanjeev Athale's NPI number?
The NPI number for Sanjeev Athale is 1407836935. It was assigned to this individual provider in the NPPES registry on January 19, 2006.
Where is Sanjeev Athale located?
Sanjeev Athale practices at 1 Cooper Plz, Camden, NJ 08103. The listed phone number is (856) 342-2380.
What is Sanjeev Athale's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Sanjeev Athale enrolled in Medicare?
Yes. Sanjeev Athale 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.
Which organizations bill Medicare for Sanjeev Athale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjeev Athale reassigns Medicare benefits to 27 organizations: Cooper University Radiology, PC (Camden, NJ), Clinical Health Care Associates Of New Jersey PC (Cherry Hill, NJ), Coastal Imaging LLC (Manahawkin, NJ), Advanced Radiology Solutions (Toms River, NJ), Robert Wood Johnson Medical Associates (New Brunswick, NJ) and 22 more organizations, listed in the Medicare section above. Each 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 Sanjeev Athale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanjeev Athale accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, Oscar Health Maintenance Organization of Florida and Taro Health list Sanjeev Athale 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 Sanjeev Athale affiliated with any hospitals?
According to CMS data, Sanjeev Athale is affiliated with Cooper University Hospital, St Joseph's University Medical Center Inc, Riverview Medical Center, Ocean Medical Center and Jersey Shore University Medical Center.
When was this NPI record last updated?
The NPPES record for Sanjeev Athale was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.