DR. SANJAY EARL PATRA M.D.
NPI 1811106511
Neurological Surgery in Grand Rapids, MI

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7900(616) 267-7901 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Feb 25, 2021 (2 updates tracked since 2021).

About Dr. Sanjay Earl Patra M.d. NPPES

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

DR. SANJAY EARL PATRA M.D. (NPI 1811106511) is an individual neurological surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301085644) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Loma Linda University School Of Medicine (2005).

NPPES Registry Identity

NPI1811106511
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. SANJAY EARL PATRACredential: M.D.
Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531
Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560
Fax(616) 267-7901
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2005
Enumeration DateMay 21, 2007
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1811106511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MI · 4301085644
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
275 MICHIGAN ST NE, Grand Rapids, MI 49503

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

Dr. Sanjay Earl Patra 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 ID1052577061
PECOS Enrollment IDI20120719000154
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 2

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Clinical Neuropsychologist
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503

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 Patra's NPI number?

The NPI number for Sanjay Patra is 1811106511. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Sanjay Patra located?

Sanjay Patra practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-7900.

What is Sanjay Patra's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Sanjay Patra enrolled in Medicare?

Yes. Sanjay Patra 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 Patra accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Sanjay Patra 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 Patra affiliated with any hospitals?

According to CMS data, Sanjay Patra is affiliated with Spectrum Health and Corewell Health Big Rapids Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Patra was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.