SANJAY RAJASHEKAR PALLEGAR M.D.
NPI 1780623629
Hospitalist in Houston, TX

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
18220 STATE HIGHWAY 249 STE 1360, HOUSTON, TX 77070(281) 737-0587 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Mar 4, 2019, Oct 14, 2016 (3 updates tracked since 2016).

About Sanjay Rajashekar Pallegar M.d. NPPES

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

SANJAY RAJASHEKAR PALLEGAR M.D. (NPI 1780623629) is an individual hospitalist provider in Houston, Texas, licensed in Texas (M0210) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780623629
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANJAY RAJASHEKAR PALLEGARCredential: M.D.
Location Address18220 STATE HIGHWAY 249 STE 1360Houston, TX 77070
Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1780623629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in TX · M0210
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 M0210 (TX)
18220 STATE HIGHWAY 249 STE 1360, Houston, TX 77070

Secondary Practice Locations 2

Location 15300 N Braeswood BlvdHouston, TX 77096-3307 · Phone (832) 746-5614
Location 2106 Vision Park BlvdShenandoah, TX 77384-3000 · Phone (713) 442-1800

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 Rajashekar Pallegar 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 ID3678510856
PECOS Enrollment IDI20050408000944
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 4

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 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.
420 services179 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.
144 services126 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.
81 services80 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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…
87%60 patients4/55-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.

Other Providers at the Same Location NPPES 4

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

Hospitalist
18220 STATE HIGHWAY 249 STE 1360
HOUSTON, TX 77070
Hospitalist
18220 STATE HIGHWAY 249 STE 1360
HOUSTON, TX 77070
Anesthesiology
18220 STATE HIGHWAY 249 STE 1360
HOUSTON, TX 77070
Nurse Anesthetist, Certified Registered
18220 STATE HIGHWAY 249 STE 1360
HOUSTON, TX 77070

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 Pallegar's NPI number?

The NPI number for Sanjay Pallegar is 1780623629. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Sanjay Pallegar located?

Sanjay Pallegar practices at 18220 State Highway 249 Ste 1360, Houston, TX 77070. The listed phone number is (281) 737-0587.

What is Sanjay Pallegar's specialty?

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

Is Sanjay Pallegar enrolled in Medicare?

Yes. Sanjay Pallegar 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 Pallegar accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Sanjay Pallegar 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 Pallegar affiliated with any hospitals?

According to CMS data, Sanjay Pallegar is affiliated with St Luke's The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Pallegar was last updated on June 16, 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.