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DR. SANJAY P SINHA MD
NPI 1447571120
Family Medicine in Oak Lawn, IL

Active since June 17, 2010PECOS EnrolledAccepts Medicare Assignment
4061 W 95TH ST, OAK LAWN, IL 60453(630) 432-6200(630) 432-6660 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Aug 22, 2023, Jul 13, 2022 and 1 more (4 updates tracked since 2016).

About Dr. Sanjay P Sinha Md NPPES

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

DR. SANJAY P SINHA MD (NPI 1447571120) is an individual family medicine provider in Oak Lawn, Illinois, licensed in Illinois (036.131918) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447571120
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SANJAY P SINHACredential: MD
Location Address4061 W 95TH STOak Lawn, IL 60453-2611
Mailing AddressPo Box 713260Chicago, IL 60677-1260 · (630) 469-9200
Phone(630) 432-6200
Fax(630) 432-6660
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 17, 2010
Last NPPES UpdateMarch 17, 20254 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1447571120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.131918
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4061 W 95TH ST, Oak Lawn, IL 60453
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1635 N Dearborn St Ste 100Chicago, IL 60654-4618 · Phone (312) 694-2273 · Fax (312) 694-2129
Location 2850 S Wabash Ave, STE 310Chicago, IL 60605-3641 · Phone (872) 216-8145

Other Identifiers 1

Medicaid036131918IL

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

Dr. Sanjay P Sinha 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 ID6204067960
PECOS Enrollment IDI20140321000061
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

4

Medicare enrollment records show Sanjay Sinha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health & Hospitals Corporation
0.5 mi
Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1912936014 (847) 390-5900
Physicians Immediate Care North Chicago LLC
16 mi
Urgent Care
4211 N CICERO AVE, SUITE 100
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 366 clinicians in this Medicare group
NPI 1205814118 (815) 713-2738
Dupage Medical Group Ltd
17 mi
Multi-Specialty
1100 W 31ST ST, STE 300
Downers Grove, IL 60515
  • Reassigned Medicare billing, Illinois enrollment
  • 1,061 clinicians in this Medicare group
NPI 1801833983 (630) 469-9200
Northwestern Medical Faculty Foundation
35 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

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 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.

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.
240 services237 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
85 services85 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
59 services59 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
51 services51 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
27 services27 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

ADEM SHUAIPAJ DO
Family Medicine
4061 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 423-2880
ALEXANDER DOMINIC VALENTINE MD
Ophthalmology
4061 W 95TH ST
OAK LAWN, IL 60453
Cook County (630) 322-8300
MR. KEVIN VERMEER FNP
Nurse Practitioner
4061 W 95TH ST
OAK LAWN, IL 60453
Cook County (630) 790-1872
ARIANNE GRACE BERNALES COMORO DPT
Physical Therapist
4061 W 95TH ST
OAK LAWN, IL 60453
Cook County (630) 459-9200
LAURA ELIZABETH LUPO DPT
Physical Therapist
4061 W 95TH ST
OAK LAWN, IL 60453
Cook County (630) 967-2000
MICHELLE FLISK OTR/L, OTD
Occupational Therapist
4061 W 95TH ST
OAK LAWN, IL 60453
Cook County (690) 967-2000
HARUN DURUDOGAN D.O.
Orthopaedic Surgery
4061 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 229-0101
PHILIP JULIUS GUINID DPT
Physical Therapist
4061 W 95TH ST
OAK LAWN, IL 60453
Cook County (630) 967-2000

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 Sinha's NPI number?

The NPI number for Sanjay Sinha is 1447571120. It was assigned to this individual provider in the NPPES registry on June 17, 2010.

Where is Sanjay Sinha located?

Sanjay Sinha practices at 4061 W 95th St, Oak Lawn, IL 60453. The listed phone number is (630) 432-6200.

What is Sanjay Sinha's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sanjay Sinha enrolled in Medicare?

Yes. Sanjay Sinha 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 Sanjay Sinha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Sinha reassigns Medicare benefits to 4 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL), Physicians Immediate Care North Chicago LLC (Chicago, IL), Dupage Medical Group Ltd (Downers Grove, IL) and Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Sanjay Sinha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sanjay Sinha affiliated with any hospitals?

According to CMS data, Sanjay Sinha is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Sinha was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.