NPPES file of Aug 9, 2026

Sanjay Pethkar, M.D.

Internal Medicine Physician · Plainfield, IL

Sanjay Pethkar, M.D. is an internal medicine physician with a practice address in Plainfield, Illinois, and NPI 1134181829, issued on Apr 6, 2006. Check the license (Illinois 036091255, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1134181829
Name
Sanjay Pethkar
Credential
M.D.
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
036091255 IL
Self-reported in NPPES; status is on the state search
Practice location
13415 S Route 59, Plainfield, IL 60585
Phone
(815) 609-3627
Enumerated
Apr 6, 2006
Record last updated
Nov 15, 2011 (not updated in 15 years: call before relying on the address or phone)
Fax
(815) 609-1328
Medicaid ID
036091255 IL
Medicare enrollment
Enrolled (PECOS I20070911000401); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 13415 S Route 59

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Maureen Dela Cruz, M.D.Family Medicine Physician1467767566
  2. Mary Hensley, NPFamily Nurse Practitioner1184766735
  3. Anjali Kher, M.D. S.C.Pediatrics Physician1669434353
  4. Gabriel Lemus, NPAdult Health Nurse Practitioner1285821868

Verify Sanjay Pethkar in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036091255
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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11% more Medicare Part D claims than the average internal medicine physician in 2024

3,512 Medicare Part D claims for 199 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 12% of claims. 25 claims were for opioids.

  1. Sanjay Pethkar3,512
  2. Specialty average3,176

Most prescribed

  1. Levothyroxine Sodium199 claims
  2. Atorvastatin Calcium173 claims
  3. Metoprolol Succinate150 claims
  4. Metformin Hcl138 claims
  5. Glimepiride124 claims
  6. Amlodipine Besylate113 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.

Industry payments in 2024: $44.56

2 payments; by number, the most common kind was food and beverage; the largest payer was Novo Nordisk Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sanjay Pethkar$44.56
  2. Specialty average$1,303.06

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Sanjay Pethkar, M.D., S. C.Plainfield, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sanjay Pethkar among 7,238 internal medicine physician records in Illinois

Sanjay Pethkar, M.D. is one of 7,238 internal medicine physician records with a practice address in Illinois. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 61% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileYes · 50% of these records are
  • Graduated1990 · median 2003 among the 3,580 with a school on file
  • Record last updated2011 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

15 internal medicine physician records list a practice address in Plainfield

They are 15 of the 1,198 NPPES records with a practice address in Plainfield, and 7,238 internal medicine physician records in Illinois.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Kristen Donigan, D.O.Plainfield, IL 605851558517789
  2. Kalpesh Patel, M.D.Plainfield, IL 605851154386506
  3. Shalin Shah, M.D.Plainfield, IL 605851215324462
  4. Nancy Bryan, D.O.Plainfield, IL 605861316064272
  5. Ashraf Iskander, MDPlainfield, IL 605861437167541
  6. Dalius Kedainis, MD FACPPlainfield, IL 605861861596363
  7. Soraya Sharfaei, MDPlainfield, IL 605861770671646
  8. Christian Struven, M.D.Plainfield, IL 605861710118575

Common questions

What is Sanjay Pethkar, M.D.'s NPI number?

Sanjay Pethkar, M.D.'s National Provider Identifier (NPI) is 1134181829, issued on Apr 6, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sanjay Pethkar, M.D. located?

The NPPES record lists a practice address at 13415 S Route 59, Plainfield, IL, 60585. Phone: (815) 609-3627. Providers update this record themselves, so call before visiting.

How can I verify Sanjay Pethkar, M.D.'s license?

NPPES lists Illinois license number 036091255, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sanjay Pethkar, M.D. prescribe under Medicare Part D?

In 2024, Sanjay Pethkar, M.D. had 3,512 Medicare Part D claims for 199 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

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.