2026 NPPES data Family Medicine Physician NPI 1619463635 MD
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SANIL GULATI, MD

Family Medicine Physician in OAK CREEK, Wisconsin. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 166 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: SANIL GULATI, MD is a Family Medicine Physician ([object Object]) practicing in OAK CREEK, Wisconsin with a Medicare Part D prescribing footprint of 2K claims across 166 beneficiaries — 10% brand-name prescribing .

What stands out: SANIL GULATI, MD filed 1,510 Medicare Part D claims in 2023 across OAK CREEK, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

SANIL GULATI, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

SANIL GULATI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 07/02/2018

NPI 1619463635

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

1,510 56% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Wisconsin

How Family Medicine Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Family Medicine Physician share within Wisconsin

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

SANIL GULATI, MD is a Family Medicine Physician provider practicing in OAK CREEK, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1619463635. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SANIL GULATI, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 7901 S 6TH ST, OAK CREEK, WI, 53154, with a listed phone of (414) 346-8000. NPI 1619463635 was issued on 07/02/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GULATI most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,510 prescription claims written by this provider, covering 166 Medicare beneficiaries and totaling roughly $197K in drug spend, split 10% brand-name and 90% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

7901 S 6TH ST
OAK CREEK, WI 53154

Provider Details

NPI 1619463635
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/02/2018

Brand vs generic prescribing mix · Typical

SANIL GULATI, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 1,510 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,510
Total Claims
$197K
Total Drug Cost
166
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,357
Total Day Supply
96,856
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$163K
Generic Drug Cost
$33K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
1.48
Gender Split
60% female / 40% male
Age Distribution
<65: 36, 65-74: 84, 75-84: 33, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atorvastatin Calcium
138
Levothyroxine Sodium
74
Amlodipine Besylate
62
Pantoprazole Sodium
61
Omeprazole
45
Lisinopril
40
Losartan Potassium
38
Rosuvastatin Calcium
38
Metformin Hcl Er
Metformin Hcl
35
Venlafaxine Hcl Er
Venlafaxine Hcl
34

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Medicine Physician Overview

How SANIL GULATI, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

SANIL GULATI, MD's 1,510 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as GULATI.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANIL GULATI, MD's specialty?
SANIL GULATI, MD specializes in Family Medicine Physician and practices in OAK CREEK, Wisconsin. Credentials: MD.
How much does SANIL GULATI, MD prescribe under Medicare Part D?
In 2023, SANIL GULATI, MD wrote 1,510 Medicare Part D claims totaling $197K in drug costs for 166 beneficiaries.
Where is SANIL GULATI, MD located?
SANIL GULATI, MD is located at 7901 S 6TH ST, OAK CREEK, WI, 53154. Phone: (414) 346-8000.
What is SANIL GULATI, MD's NPI number?
SANIL GULATI, MD's National Provider Identifier (NPI) is 1619463635, issued on 07/02/2018.
Does SANIL GULATI, MD prescribe more brand-name or generic drugs?
SANIL GULATI, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $163K in brand drug costs.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does SANIL GULATI, MD prescribe most often?
Based on 2023 Medicare Part D data, SANIL GULATI, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANIL GULATI, MD accept Medicare?
SANIL GULATI, MD appears in CMS Medicare data with 1,510 Part D claims and 166 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANIL GULATI, MD's credentials?
SANIL GULATI, MD's NPI is 1619463635 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology