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DR. SANJAY CHINTAMAN PATWARDHAN M.D
NPI 1679886741
Obstetrics & Gynecology - Maternal & Fetal Medicine in Detroit, MI

Active since July 19, 2010PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST, SUITE 4C, DETROIT, MI 48201(313) 745-4525(313) 745-4399 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 4, 2025, Sep 2, 2016 (2 updates tracked since 2016).

About Dr. Sanjay Chintaman Patwardhan M.d NPPES

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

DR. SANJAY CHINTAMAN PATWARDHAN M.D (NPI 1679886741) is an individual maternal & fetal medicine provider in Detroit, Michigan, licensed in South Carolina (35600) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1679886741
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameDR. SANJAY CHINTAMAN PATWARDHANCredential: M.D
Location Address4201 SAINT ANTOINE ST, SUITE 4CDetroit, MI 48201-2153
Mailing Address1560 E Maple Rd, Suite 400 CredentialingTroy, MI 48083-1138 · (313) 745-4525 · Fax (313) 745-4399
Phone(313) 745-4525
Fax(313) 745-4399
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 19, 2010
Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1679886741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in SC · 35600✔ Licensed in IN · 01096933A
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MT194880 (PA)
4201 SAINT ANTOINE ST, Detroit, MI 48201
Open in Google Maps ↗

Secondary Practice Location 1

Location 18081 Township Line Rd Ste 203Indianapolis, IN 46260-2189 · Phone (317) 415-8100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sanjay Chintaman Patwardhan 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 ID3375785819
PECOS Enrollment IDI20260327002376
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

2

Medicare enrollment records show Sanjay Patwardhan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincent Pediatric Subspecialties
235 mi
Pediatrics
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1013967736 (317) 338-2273
Usa Health Physician Billing Services LLC
850 mi
Emergency Medicine
2451 UNIVERSITY HOSPITAL DR
Mobile, AL 36617
  • Reassigned Medicare billing, Alabama enrollment
  • 857 clinicians in this Medicare group
NPI 1285292912 (251) 470-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ZOHA NIZAMI
Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. PUJA LAROIA DO
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
ELIZABETH ANNE RANELLA CRNA
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (952) 442-9770
GERARD LANCASTER MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
SARAH ZHANG
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Wayne County (313) 993-2529
DAVID BURKHOLDER
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Wayne County (313) 993-2530
DR. DANIEL RAY CAVAZOS MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
WAHAJUDDIN MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146

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 Patwardhan's NPI number?

The NPI number for Sanjay Patwardhan is 1679886741. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Sanjay Patwardhan located?

Sanjay Patwardhan practices at 4201 Saint Antoine St Suite 4C, Detroit, MI 48201. The listed phone number is (313) 745-4525.

What is Sanjay Patwardhan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Sanjay Patwardhan enrolled in Medicare?

Yes. Sanjay Patwardhan 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.

Which organizations bill Medicare for Sanjay Patwardhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Patwardhan reassigns Medicare benefits to 2 organizations: St Vincent Pediatric Subspecialties (Indianapolis, IN) and Usa Health Physician Billing Services LLC (Mobile, AL). 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 Sanjay Patwardhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sanjay Patwardhan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, CareSource and Molina Healthcare list Sanjay Patwardhan 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 Sanjay Patwardhan was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.