SANJEEV DATTATRAYA ATHALE MD
NPI 1407836935
Radiology - Diagnostic Radiology in Camden, NJ

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
1 COOPER PLZ, CAMDEN, NJ 08103(856) 342-2380 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 27, 2026, Apr 8, 2026, Mar 13, 2026 and 1 more (4 updates tracked since 2023).

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

NPI1407836935
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSANJEEV DATTATRAYA ATHALECredential: MD
Location Address1 COOPER PLZCamden, NJ 08103-1461
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (482) 886-9358
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJanuary 19, 2006
Last NPPES UpdateApril 27, 20264 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1407836935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in NJ · 25MA11615900
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 233479 (NY), A114198 (CA)
1 COOPER PLZ, Camden, NJ 08103

Secondary Practice Locations 5

Location 168A Main StMedway, MA 02053-1775 · Phone (508) 488-3635
Location 255 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-3850
Location 314 Prospect StMilford, MA 01757-3003 · Phone (508) 473-1190 · Fax (508) 634-3687
Location 43700 Park East Dr, Suite 450Beachwood, OH 44122-4305 · Phone (855) 292-1401 · Fax (866) 396-8340
Location 51 Plainsboro RoadPlainsboro, NJ 08536-1913 · Phone (609) 853-6049 · Fax (609) 853-7221

Other Identifiers 1

Medicaid1407836935CA

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.

PECOS PAC ID6103870621
PECOS Enrollment IDI20090309000187, I20110329000658, I20171006002005, I20230419000533
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.

Medicare Billing Reassignments

27

Medicare 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.

Diagnostic Radiology
1 COOPER PLZ
Camden, NJ 08103
  • Reassigned Medicare billing, New Jersey enrollment
  • 95 clinicians in this Medicare group
Internal Medicine
1400 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 133 clinicians in this Medicare group
Diagnostic Radiology
1140 ROUTE 72 W
Manahawkin, NJ 08050
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
Diagnostic Radiology
79 ROUTE 37 W, SUITE 103
Toms River, NJ 08755
  • Reassigned Medicare billing, California enrollment
  • 11 clinicians in this Medicare group
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Diagnostic Radiology
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, California enrollment
  • 3 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, California and New Jersey enrollments
  • 4 clinicians in this Medicare group
General Practice
300 CENTRAL AVE
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 66 clinicians in this Medicare group
Diagnostic Radiology
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
Diagnostic Radiology
718 TEANECK RD
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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
23,070 services222 patients
Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
8,350 services46 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
716 services660 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
227 services226 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
168 services166 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
165 services158 patients

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, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician 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.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
99%351 patients
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.

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
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Anesthetist, Certified Registered
1 COOPER PLZ
CAMDEN, NJ 08103
Anesthesiology
1 COOPER PLZ
CAMDEN, NJ 08103
Hospitalist
1 COOPER PLZ, DORRANCE 222
CAMDEN, NJ 08103
Social Worker (Clinical)
1 COOPER PLZ
CAMDEN, NJ 08103
Nurse Practitioner
1 COOPER PLZ
CAMDEN, NJ 08103
Obstetrics & Gynecology
1 COOPER PLZ
CAMDEN, NJ 08103
Physician Assistant
1 COOPER PLZ
CAMDEN, NJ 08103

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.