SANJIV KHETARPAL MD
NPI 1639223308
Internal Medicine - Gastroenterology in Canton, OH

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4665 BELPAR ST NW, CANTON, OH 44718(330) 493-1480(330) 493-6805 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sanjiv Khetarpal Md NPPES

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

SANJIV KHETARPAL MD (NPI 1639223308) is an individual gastroenterology provider in Canton, Ohio, licensed in Ohio (35063232) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1639223308
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSANJIV KHETARPALCredential: MD
Location Address4665 BELPAR ST NWCanton, OH 44718
Mailing AddressPo Box 36329Canton, OH 44735 · (330) 493-1480 · Fax (330) 493-6805
Fax(330) 493-6805
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJanuary 22, 2007
Last NPPES UpdateDecember 19, 2022
NPPES CertifiedDecember 19, 2022
NPI 1639223308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in OH · 35063232
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4665 BELPAR ST NW, Canton, OH 44718

Other Identifiers 7

Medicaid0904758OH
Other2217260Aetna
Other000000126856Anthem
Other100005648Railroad Medicare
Other100235Kaiser
Other87738Qual Choice
Other2900159United Healthcare

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

Sanjiv Khetarpal 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 ID6305870049
PECOS Enrollment IDI20111115000378
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 15

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
621 services275 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
183 services181 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
122 services122 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
106 services105 patients
Dilation of esophagus 43450
Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.
82 services75 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
62 services62 patients

Hospital Affiliations CMS Care Compare

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44718 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims

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

Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$3.02 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 7

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

Nurse Practitioner (Adult Health)
4665 BELPAR ST NW
CANTON, OH 44718
Nurse Practitioner (Adult Health)
4665 BELPAR ST NW
CANTON, OH 44718
Internal Medicine (Gastroenterology)
4665 BELPAR ST NW
CANTON, OH 44718
Clinic/Center
4665 BELPAR ST NW
CANTON, OH 44718
Nurse Practitioner (Adult Health)
4665 BELPAR ST NW
CANTON, OH 44718
Clinic/Center
4665 BELPAR ST NW
CANTON, OH 44718
Nurse Practitioner
4665 BELPAR ST NW
CANTON, OH 44718

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 Sanjiv Khetarpal's NPI number?

The NPI number for Sanjiv Khetarpal is 1639223308. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Sanjiv Khetarpal located?

Sanjiv Khetarpal practices at 4665 Belpar St NW, Canton, OH 44718. The listed phone number is (330) 493-1480.

What is Sanjiv Khetarpal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sanjiv Khetarpal enrolled in Medicare?

Yes. Sanjiv Khetarpal 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 Sanjiv Khetarpal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Sanjiv Khetarpal 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 Sanjiv Khetarpal affiliated with any hospitals?

According to CMS data, Sanjiv Khetarpal is affiliated with Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Sanjiv Khetarpal was last updated on December 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.