Dr Sanjay Pethkar, MD - Medicare Internal Medicine in Plainfield, IL

Dr Sanjay Pethkar, MD is a medicare enrolled "Internal Medicine" physician in Plainfield, Illinois. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Sanjay Pethkar, M.d., S. C. and his current practice location is 13415 S Route 59, Plainfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 609-3627.

Dr Sanjay Pethkar is licensed to practice in Illinois (license number 036091255) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134181829.

Contact Information

Dr Sanjay Pethkar, MD
13415 S Route 59,
Plainfield, IL 60585-5676
(815) 609-3627
(815) 609-1328

Map and Direction




Physician's Profile

Full NameDr Sanjay Pethkar
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location13415 S Route 59, Plainfield, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sanjay Pethkar graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1134181829
  • Provider Enumeration Date: 04/06/2006
  • Last Update Date: 11/15/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8123111853
  • Enrollment ID: I20070911000401

Medical Identifiers

Medical identifiers for Dr Sanjay Pethkar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134181829NPI-NPPES
036091255MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 036091255 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Edward HospitalNaperville, ILHospital
Presence Saint Joseph Medical CenterJoliet, ILHospital
Morris Hospital & Healthcare CentersMorris, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanjay Pethkar, M.d., S. C.98302825653

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sanjay Pethkar allows following entities to bill medicare on his behalf.
Entity NameSanjay Pethkar, M.d., S. C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588873293
PECOS PAC ID: 9830282565
Enrollment ID: O20070911000423

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sanjay Pethkar is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Sanjay Pethkar, MD
Po Box 9200,
Naperville, IL 60567-0200

Ph: (815) 609-3627
Dr Sanjay Pethkar, MD
13415 S Route 59,
Plainfield, IL 60585-5676

Ph: (815) 609-3627

Reviews and Comments


Internal Medicine Doctors in Plainfield, IL

Dr. Malcolm Bernard Franklin, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24020 W Riverwalk Ct, Ste 102, Plainfield, IL 60544
Phone: 815-676-2575    
Dr. Robert T Zeck, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 13141 Lake Mary Dr, Plainfield, IL 60585
Phone: 815-577-0826    Fax: 815-577-0826
Dr. Kalpesh M Patel, M.D.
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Practice Location: 12624 S Route 59, Plainfield, IL 60585
Phone: 815-577-6446    Fax: 815-577-6331
Shalin Shah, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12004 S Route 59 Unit 100, Plainfield, IL 60585
Phone: 630-364-7850    Fax: 630-432-6604
Zeba Shethwala,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 24020 W Riverwalk Ct Ste 102, Plainfield, IL 60544
Phone: 815-676-2575    Fax: 815-676-2585
Dr. Nancy Elizabeth Bryan, D.O.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15905 S Frederick St, Ste 105, Plainfield, IL 60586
Phone: 630-646-5020    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.