DR. SANJAY CHAWLA MD
NPI 1487638672
Internal Medicine - Pulmonary Disease in New York, NY

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
87.06/100
CMS Quality Rating
1275 YORK AVE, SUITE M314, NEW YORK, NY 10021(212) 639-2765(212) 794-4333 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sanjay Chawla Md NPPES

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

DR. SANJAY CHAWLA MD (NPI 1487638672) is an individual pulmonary disease provider in New York, New York, licensed in New York (208654) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1996).

NPPES Registry Identity

NPI1487638672
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SANJAY CHAWLACredential: MD
Location Address1275 YORK AVE, SUITE M314New York, NY 10021-6007
Mailing Address110 W 94th St, 5dNew York, NY 10025-7019 · (212) 665-7480 · Fax (240) 363-3242
Fax(212) 794-4333
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1996
Enumeration DateDecember 1, 2005
Last NPPES UpdateSeptember 11, 2025
NPI 1487638672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 208654
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 208654 (NY)
1275 YORK AVE, New York, NY 10021

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 Chawla 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 ID8224022967
PECOS Enrollment IDI20040414000477
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 3

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
131 services72 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.
50 services30 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
43 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

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.

87.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.48
Improvement Activities40

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.

Dermatology
1275 YORK AVE
NEW YORK, NY 10021
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
Nurse Anesthetist, Certified Registered
1275 YORK AVE
NEW YORK, NY 10021
Pediatrics (Pediatric Hematology-Oncology)
1275 YORK AVE
NEW YORK, NY 10021
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10021
Radiology (Diagnostic Radiology)
1275 YORK AVE, DEPARTMENT OF RADIOLOGY
NEW YORK, NY 10021
Internal Medicine (Medical Oncology)
1275 YORK AVE
NEW YORK, NY 10021
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10021

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 Chawla's NPI number?

The NPI number for Sanjay Chawla is 1487638672. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Sanjay Chawla located?

Sanjay Chawla practices at 1275 York Ave Suite M314, New York, NY 10021. The listed phone number is (212) 639-2765.

What is Sanjay Chawla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sanjay Chawla enrolled in Medicare?

Yes. Sanjay Chawla 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.

When was this NPI record last updated?

The NPPES record for Sanjay Chawla was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.