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DR. SANJEEV MADHAV PAWAR M.D.
NPI 1669630877
Internal Medicine in Phoenix, AZ

Active since May 26, 2008PECOS Enrolled
2525 E CAMELBACK RD, SUITE 1100, PHOENIX, AZ 85016(602) 778-3667 Get Directions Write a Review

NPPES record last updated: May 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sanjeev Madhav Pawar M.d. NPPES

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

DR. SANJEEV MADHAV PAWAR M.D. (NPI 1669630877) is an individual internal medicine provider in Phoenix, Arizona, licensed in Texas (IN PROCESS) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669630877
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANJEEV MADHAV PAWARCredential: M.D.
Location Address2525 E CAMELBACK RD, SUITE 1100Phoenix, AZ 85016-4219
Mailing Address6152 220th StOakland Gardens, NY 11364-2245 · (347) 751-2924
Phone(602) 778-3667
Sole ProprietorNo
Enumeration DateMay 26, 2008
✔ NPI 1669630877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · IN PROCESS
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.
2525 E CAMELBACK RD, Phoenix, AZ 85016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanjeev Madhav Pawar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Sanjeev Pawar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lonestar Hospital Medicine Associates, PA
868 mi
Hospitalist
2700 E BROAD ST
Mansfield, TX 76063
  • Reassigned Medicare billing, Texas enrollment
  • 994 clinicians in this Medicare group
NPI 1518237429 (682) 622-2000
Cogent Healthcare Of Texas, PA
885 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585
Hospitalist Medicine Physicians Of Texas, PLLC
1,014 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700

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 5

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 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.
634 services227 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.
127 services125 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
62 services32 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.
47 services47 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%250 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims13 services$14.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$62.67 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 14

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

APOGEE MEDICAL GROUP VERMONT PC
Internal Medicine
2525 E CAMELBACK RD, 1100
PHOENIX, AZ 85016
Maricopa County (602) 778-3600
APOGEE MEDICAL GROUP INC
Internal Medicine
2525 E CAMELBACK RD, #1100
PHOENIX, AZ 85016
Maricopa County (602) 778-3600
APOGEE MEDICAL GROUP, MISSISSIPPI, INC
Hospitalist
2525 E CAMELBACK RD, STE 1100
PHOENIX, AZ 85016
Maricopa County (602) 778-3600
APOGEE MEDICAL GROUP ALASKA
Internal Medicine
2525 E CAMELBACK RD, #1100
PHOENIX, AZ 85016
Maricopa County (602) 778-3600
MICHAEL W GREGORY MD
Internal Medicine
2525 E CAMELBACK RD, 1100
PHOENIX, AZ 85016
Maricopa County (602) 778-3600
APOGEE MEDICAL GROUP CALIFORNIA INC
Internal Medicine
2525 E CAMELBACK RD, 1100
PHOENIX, AZ 85016
Maricopa County (602) 778-3600
APOGEE MEDICAL GROUP PC
Internal Medicine
2525 E CAMELBACK RD, #1100
PHOENIX, AZ 85016
Maricopa County (602) 778-3600
CARE LEVEL MANAGEMENT ARIZONA, INC
General Practice
2525 E CAMELBACK RD, SUITE 940
PHOENIX, AZ 85016
Maricopa County (800) 829-8133

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 Sanjeev Pawar's NPI number?

The NPI number for Sanjeev Pawar is 1669630877. It was assigned to this individual provider in the NPPES registry on May 26, 2008.

Where is Sanjeev Pawar located?

Sanjeev Pawar practices at 2525 E Camelback Rd Suite 1100, Phoenix, AZ 85016. The listed phone number is (602) 778-3667.

What is Sanjeev Pawar's specialty?

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

Is Sanjeev Pawar enrolled in Medicare?

Yes. Sanjeev Pawar is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sanjeev Pawar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjeev Pawar reassigns Medicare benefits to 3 organizations: Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Cogent Healthcare Of Texas, PA (Dallas, TX) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). 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 Sanjeev Pawar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjeev Pawar accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Sanjeev Pawar 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.

When was this NPI record last updated?

The NPPES record for Sanjeev Pawar was last updated on May 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.