SANJAY G PATEL MD
NPI 1629004569
Hospitalist in Thief River Falls, MN

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
78.86/100
CMS Quality Rating
3001 SANFORD PKWY, THIEF RIVER FALLS, MN 56701(218) 683-2725(218) 683-2595 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sanjay G Patel Md NPPES

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

SANJAY G PATEL MD (NPI 1629004569) is an individual hospitalist provider in Thief River Falls, Minnesota, licensed in Minnesota (34259) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Thief River Falls Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1629004569
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANJAY G PATELCredential: MD
Location Address3001 SANFORD PKWYThief River Falls, MN 56701-2700
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Fax(218) 683-2595
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 23, 2006
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
NPI 1629004569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MN · 34259
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 34259 (MN)
3001 SANFORD PKWY, Thief River Falls, MN 56701

Other Identifiers 10

Other5180MN · Ndbs #
OtherMN100017MN · Lhs/bannerhealth #
Other142043MN · Ucare #
Other0402535MN · Medica #
Other1M783PAMN · Mnbs #
Other907825MN · America's Ppo/araz #
OtherDA9021015706MN · Preferred One #
Medicaid279082300MN
Medicaid17749MN
OtherHP 20443MN · Healthpartners #

Accepted 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

Sanjay G Patel 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 ID3375625544
PECOS Enrollment IDI20080126000069
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.

Follow-up hospital inpatient care per day, typically 25 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.
195 services77 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services58 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
56 services54 patients
Follow-up hospital inpatient care per day, typically 35 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.
43 services29 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services16 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
37 services31 patients

Hospital Affiliations CMS Care Compare

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

Sanford Thief River Falls Medical Center

Critical Access Hospitals · Thief River Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241381
Location3001 Sanford ParkwayThief River Falls, MN 56701 · Pennington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56701 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

78.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.45
Promoting Interoperability99
Improvement Activities40
Cost29.78

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers16 claims16 services$46.27 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers16 claims16 services$100.79 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers20 claims44 services$44.66 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers17 claims17 services$22.16 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers27 claims108 services$2.88 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
2 suppliers11 claims11 services$14.08 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.

Nurse Anesthetist, Certified Registered
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 56701
Family Medicine
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 56701
Dietitian, Registered
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 56701
Speech-Language Pathologist
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 56701
Occupational Therapist
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 56701
Occupational Therapist
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 56701
Occupational Therapy Assistant
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 56701
Physical Therapy Assistant
3001 SANFORD PKWY
THIEF RIVER FALLS, MN 56701

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 Patel's NPI number?

The NPI number for Sanjay Patel is 1629004569. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Sanjay Patel located?

Sanjay Patel practices at 3001 Sanford Pkwy, Thief River Falls, MN 56701. The listed phone number is (218) 683-2725.

What is Sanjay Patel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sanjay Patel enrolled in Medicare?

Yes. Sanjay Patel 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 Patel accept?

Health plans from Medica and Sanford Health Plan list Sanjay Patel 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 Patel affiliated with any hospitals?

According to CMS data, Sanjay Patel is affiliated with Sanford Thief River Falls Medical Center.

When was this NPI record last updated?

The NPPES record for Sanjay Patel was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.