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DR. SANJAY DOGRA M.D.
NPI 1932114634
Internal Medicine - Pulmonary Disease in Berkley, MI

Active since July 30, 2006PECOS EnrolledAccepts Medicare Assignment
27901 WOODWARD AVE, STE 220, BERKLEY, MI 48072(248) 556-5582(248) 850-7142 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sanjay Dogra M.d. NPPES

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

DR. SANJAY DOGRA M.D. (NPI 1932114634) is an individual pulmonary disease provider in Berkley, Michigan, licensed in Michigan (4301083180) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1932114634
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. SANJAY DOGRACredential: M.D.
Location Address27901 WOODWARD AVE, STE 220Berkley, MI 48072-0919
Mailing Address2488 Tall Oaks DrTroy, MI 48098-2496 · (248) 816-3964
Phone(248) 556-5582
Fax(248) 850-7142
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 30, 2006
Last NPPES UpdateOctober 21, 2020
NPPES CertifiedOctober 21, 2020
✔ NPI 1932114634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · 4301083180
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301083180 (MI)
27901 WOODWARD AVE, Berkley, MI 48072
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Dogra 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 ID648340992
PECOS Enrollment IDI20080529000654
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 10

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.
159 services81 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.
66 services65 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services27 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.
53 services47 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.
47 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48072 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers28 claims28 services$29.04 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers22 claims41 services$1.15 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers27 claims27 services$69.36 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers24 claims54 services$29.31 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers18 claims18 services$53.79 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers25 claims25 services$15.45 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 20

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

DR. MAHER RABAH DO
Internal Medicine (Interventional Cardiology)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
KENNETH JACKSON PA-C
Physician Assistant (Medical)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 837-2443
CARDIOLOGY ASSOCIATES PC
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
DR RICHARD L GRANT P L C
Podiatrist
27901 WOODWARD AVE, SUITE 110
BERKLEY, MI 48072
Oakland County (248) 545-0100
DR. ANDREW HAUSER M.D.
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
SANJAY DOGRA MD PLLC
Internal Medicine (Pulmonary Disease)
27901 WOODWARD AVE, SUITE 220
BERKLEY, MI 48072
Oakland County (248) 556-5582
DR. JAMES R STEWART M.D.
Internal Medicine (Cardiovascular Disease)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070
DR. AMR ABBAS M.D.
Internal Medicine (Interventional Cardiology)
27901 WOODWARD AVE, SUITE 300
BERKLEY, MI 48072
Oakland County (248) 545-0070

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 Dogra's NPI number?

The NPI number for Sanjay Dogra is 1932114634. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Sanjay Dogra located?

Sanjay Dogra practices at 27901 Woodward Ave Ste 220, Berkley, MI 48072. The listed phone number is (248) 556-5582.

What is Sanjay Dogra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sanjay Dogra enrolled in Medicare?

Yes. Sanjay Dogra 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 Dogra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Sanjay Dogra 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 Dogra affiliated with any hospitals?

According to CMS data, Sanjay Dogra is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Sanjay Dogra was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.