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DR. SANJAY KUMAR CHOUDHARY MD
NPI 1407858228
Internal Medicine in Middleburg Heights, OH

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
7215 OLD OAK BLVD, SUITE A420, MIDDLEBURG HEIGHTS, OH 44130(440) 816-5816(440) 243-4819 Get Directions Write a Review

NPPES record last updated: July 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sanjay Kumar Choudhary Md NPPES

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

DR. SANJAY KUMAR CHOUDHARY MD (NPI 1407858228) is an individual internal medicine provider in Middleburg Heights, Ohio, licensed in Ohio (82588) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Metrohealth System, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1407858228
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANJAY KUMAR CHOUDHARYCredential: MD
Location Address7215 OLD OAK BLVD, SUITE A420Middleburg Heights, OH 44130-3340
Mailing Address26908 Detroit Rd, Suite 301Westlake, OH 44145-2398 · (440) 617-1823 · Fax (440) 617-0884
Phone(440) 816-5816
Fax(440) 243-4819
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 11, 2005
Last NPPES UpdateJuly 19, 2013
✔ NPI 1407858228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 82588
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.
7215 OLD OAK BLVD, Middleburg Heights, OH 44130
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Other Identifiers 4

Medicare PIN4111162OH
Medicare ID-Type UnspecifiedCH4111161OH
Medicaid2402788OH
Medicare UPINH88274OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.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. Sanjay Kumar Choudhary 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 ID6901860113
PECOS Enrollment IDI20041117000694
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 11

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 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.
795 services215 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.
435 services100 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.
311 services259 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.
184 services158 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services52 patients
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.
85 services49 patients

Hospital Affiliations CMS Care Compare 3

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

Metrohealth System

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360059
Location2500 Metrohealth DriveCleveland, OH 44109 · Cuyahoga County
Emergency services Birthing friendly

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360123
Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County
Emergency services

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims27 services$6.79 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims15 services$4.45 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
2 suppliers31 claims31 services$80.85 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier19 claims19 services$31.48 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 14

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

THOMAS WULFF JR. PA-C
Physician Assistant
7215 OLD OAK BLVD, STE A-311
CLEVELAND, OH 44130
Cuyahoga County (440) 891-8880
WESTSHORE PRIMARY CARE ASSOC., INC.
Internal Medicine
7215 OLD OAK BLVD, SUITE A420
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-5816
DR. SUBHASH C MAHAJAN M.D.
Internal Medicine (Gastroenterology)
7215 OLD OAK BLVD, A312
CLEVELAND, OH 44130
Cuyahoga County (440) 816-2733
BHUPINDER S SAWHNY MD
Neurological Surgery
7215 OLD OAK BLVD, SUITE A-311
CLEVELAND, OH 44130
Cuyahoga County (440) 891-8880
JEROLD P. GURLEY M.D. , P.C. , INC.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
7215 OLD OAK BLVD, SUITE A421
CLEVELAND, OH 44130
Cuyahoga County (440) 816-2225
SUBHASH C. MAHAJAN, MD INC
Specialist
7215 OLD OAK BLVD, A312
CLEVELAND, OH 44130
Cuyahoga County (440) 816-2734
DR. MICHAEL YERUKHIM MD
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
7215 OLD OAK BLVD, SUITE A414
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-2776
SOUTHWEST NEUROLOGY INC
Neuromusculoskeletal Medicine, Sports Medicine
7215 OLD OAK BLVD, A411
CLEVELAND, OH 44130
Cuyahoga County (440) 826-9221

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 Choudhary's NPI number?

The NPI number for Sanjay Choudhary is 1407858228. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Sanjay Choudhary located?

Sanjay Choudhary practices at 7215 Old Oak Blvd Suite A420, Middleburg Heights, OH 44130. The listed phone number is (440) 816-5816.

What is Sanjay Choudhary's specialty?

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

Is Sanjay Choudhary enrolled in Medicare?

Yes. Sanjay Choudhary 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 Choudhary accept?

Health plans from CareSource, MedMutual, Molina Healthcare, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Sanjay Choudhary 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 Choudhary affiliated with any hospitals?

According to CMS data, Sanjay Choudhary is affiliated with Metrohealth System, Uh St John Medical Center and Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Sanjay Choudhary was last updated on July 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.