SANJAY PENMETCHA M.D.
NPI 1568489185
Internal Medicine in Chicago Heights, IL

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
7.33/100
CMS Quality Rating
30 E 15TH ST, CHICAGO HEIGHTS, IL 60411(708) 756-5454 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sanjay Penmetcha M.d. NPPES

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

SANJAY PENMETCHA M.D. (NPI 1568489185) is an individual internal medicine provider in Chicago Heights, Illinois, licensed in Illinois (036097423) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Adventist La Grange Memorial Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1568489185
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSANJAY PENMETCHACredential: M.D.
Location Address30 E 15TH STChicago Heights, IL 60411-3459
Mailing Address30 E 15th StChicago Heights, IL 60411-3459 · (708) 756-5454
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 17, 2006
Last NPPES UpdateJune 18, 2008
NPI 1568489185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036097423
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036-097423 (IL)
30 E 15TH ST, Chicago Heights, IL 60411

Other Identifiers 3

Medicaid036097423IL
Medicare PINL90374IL
Medicare UPINH35120

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

Sanjay Penmetcha M.d. 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 ID3476455932
PECOS Enrollment IDI20110215001164
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 8

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,351 services142 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.
284 services134 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
129 services121 patients
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.
124 services62 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.
121 services118 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.
84 services83 patients

Hospital Affiliations CMS Care Compare 2

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

Adventist La Grange Memorial Hospital

Acute Care Hospitals · La Grange, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140065
Location5101 S Willow Springs RdLa Grange, IL 60525 · Cook County
Emergency services

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140122
Location120 North Oak StHinsdale, IL 60521 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60411 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

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.

7.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost24.46

Referred Medical Equipment & Supplies CMS DME claims 2

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

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier27 claims27 services$34.69 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier26 claims26 services$9.53 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 20

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

Clinic/Center (Medical Specialty)
30 E 15TH ST, SUITE 314
CHICAGO HEIGHTS, IL 60411
Emergency Medicine
30 E 15TH ST
CHICAGO HEIGHTS, IL 60411
Physician Assistant (Surgical)
30 E 15TH ST, SUITE 406
CHICAGO HEIGHTS, IL 60411
Specialist
30 E 15TH ST
CHICAGO HEIGHTS, IL 60411
Podiatrist (Foot & Ankle Surgery)
30 E 15TH ST, #206
CHICAGO HEIGHTS, IL 60411
Podiatrist (Foot & Ankle Surgery)
30 E 15TH ST, SUITE 206
CHICAGO HEIGHTS, IL 60411
Internal Medicine (Nephrology)
30 E 15TH ST, SUITE 201
CHICAGO HEIGHTS, IL 60411
Nurse Practitioner (Gerontology)
30 E 15TH ST, SUITE 207
CHICAGO HEIGHTS, IL 60411

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 Penmetcha's NPI number?

The NPI number for Sanjay Penmetcha is 1568489185. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Sanjay Penmetcha located?

Sanjay Penmetcha practices at 30 E 15th St, Chicago Heights, IL 60411. The listed phone number is (708) 756-5454.

What is Sanjay Penmetcha's specialty?

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

Is Sanjay Penmetcha enrolled in Medicare?

Yes. Sanjay Penmetcha 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.

Is Sanjay Penmetcha affiliated with any hospitals?

According to CMS data, Sanjay Penmetcha is affiliated with Adventist La Grange Memorial Hospital and Adventist Hinsdale Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Penmetcha was last updated on June 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.