Sanjay Godhwani, MD
Rheumatology Physician · Wading River, NY
Sanjay Godhwani, MD is a rheumatology physician with a practice address in Wading River, New York, and NPI 1174783567, issued on Jun 10, 2008. Check the license (New York 266326, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Sanjay Godhwani
- Credential
- MD
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License number
- 266326 NY
Self-reported in NPPES; status is on the state search - Practice location
- 6144 Route 25A Ste 13, Wading River, NY 11792
- Phone
- (631) 886-2844
- Enumerated
- Jun 10, 2008
- Record last updated
- Mar 17, 2018 (not updated in 8 years: call before relying on the address or phone)
- Fax
- (631) 886-2842
- Medicaid ID
- 03497523 NY
- Medicare enrollment
- Enrolled (PECOS I20120919000133); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 599 in New York → Look up another NPI →
Also registered at 6144 Route 25A Ste 13
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kyle Eskridge, PARheumatology Physician1649740374
- Amita PatelFamily Nurse Practitioner1205447224
Verify Sanjay Godhwani in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 266326Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
48% more Medicare Part D claims than the average rheumatology physician in 2024
2,925 Medicare Part D claims for 574 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. 127 claims were for opioids.
Most prescribed
- Prednisone391 claims
- Gabapentin292 claims
- Hydroxychloroquine Sulfate291 claims
- Leflunomide237 claims
- Methotrexate218 claims
- Methylprednisolone158 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 9.2 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $44,928.08
199 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Sanjay Godhwani among 599 rheumatology physician records in New York
Sanjay Godhwani, MD is one of 599 rheumatology physician records with a practice address in New York. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 55% of them.
- NPI issued2008 · 55% of these records are older, 39% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated2008 · median 2003 among the 425 with a school on file
- Record last updated2018 · 64% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 rheumatology physician records list a practice address in Wading River
They are 2 of the 193 NPPES records with a practice address in Wading River, and 599 rheumatology physician records in New York.
All 599 in New York → Every provider in Wading River → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Kyle Eskridge, PAWading River, NY 117921649740374
- Olena Guzhva, MDSyosset, NY 117911174779359
- Abdullah AhmedStony Brook, NY 117941285039784
- Mark Bernstein, MDStony Brook, NY 117901710909502
- Davina Chen, DOStony Brook, NY 117941548723141
- Saika Sharmeen, D.O.Stony Brook, NY 117941598184483
- Howard Blumstein, M.D.Smithtown, NY 117871598751471
- Sara Johnson, M.D.Smithtown, NY 117871043206964
Common questions
What is Sanjay Godhwani, MD's NPI number?
Sanjay Godhwani, MD's National Provider Identifier (NPI) is 1174783567, issued on Jun 10, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Sanjay Godhwani, MD located?
The NPPES record lists a practice address at 6144 Route 25A Ste 13, Wading River, NY, 11792. Phone: (631) 886-2844. Providers update this record themselves, so call before visiting.
How can I verify Sanjay Godhwani, MD's license?
NPPES lists New York license number 266326, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sanjay Godhwani, MD prescribe under Medicare Part D?
In 2024, Sanjay Godhwani, MD had 2,925 Medicare Part D claims for 574 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
What is Sanjay Godhwani, MD's MIPS final score?
The 2023 MIPS final score is 9.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.