2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1619363363 MD
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SEJAL DOSHI, MD

Endocrinology, Diabetes & Metabolism Physician in CHICAGO, Illinois. 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
959
Medicare Part D claims · 159 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$19.52
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SEJAL DOSHI, MD is a Endocrinology, Diabetes & Metabolism Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 959 claims across 159 beneficiaries — 46% brand-name prescribing . Industry payments of $19.52 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SEJAL DOSHI, MD filed 959 Medicare Part D claims in 2023 across CHICAGO, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SEJAL DOSHI, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SEJAL DOSHI, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/09/2015

NPI 1619363363

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

959 64% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

Specialty distribution in Illinois

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among Illinois providers

Illinois providers

Endocrinology, Diabetes & Metabolism Physician share within Illinois

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Endocrinology, Diabetes & Metabolism Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Endocrinology, Diabetes & Metabolism Physician ABMS/AOA estimate

Est. board-certified rate (Endocrinology, Diabetes & Metabolism Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Endocrinology, Diabetes & Metabolism 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).

SEJAL DOSHI, MD is a Endocrinology, Diabetes & Metabolism Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1619363363. 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.

SEJAL DOSHI, MD appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding MD credentials at 1740 W TAYLOR ST, CHICAGO, IL, 60612, with a listed phone of (312) 996-6060. NPI 1619363363 was issued on 04/09/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOSHI 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 959 prescription claims written by this provider, covering 159 Medicare beneficiaries and totaling roughly $500K in drug spend, split 46% brand-name and 54% 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.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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

1740 W TAYLOR ST
CHICAGO, IL 60612

Provider Details

NPI 1619363363
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials MD
Gender Female
NPI Issued 04/09/2015

Hospital and facility affiliations

Facilities where SEJAL DOSHI, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
CHICAGO, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SEJAL DOSHI, MD. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

Ascendis Pharma Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to SEJAL DOSHI, MD. To verify SEJAL DOSHI, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SEJAL DOSHI, MD — brand share 46.0%
Specialty average (est.)

46% brand-name claims vs 54% generic, on 959 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.

959
Total Claims
$500K
Total Drug Cost
159
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,993
Total Day Supply
58,759
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$471K
Generic Drug Cost
$21K

Patient Demographics

Average Patient Age
67.2 years
Avg HCC Risk Score
1.89
Gender Split
73% female / 27% male
Age Distribution
<65: 50, 65-74: 75, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trulicity
Dulaglutide
103
Ozempic
Semaglutide
81
Rosuvastatin Calcium
76
Levothyroxine Sodium
70
Jardiance
Empagliflozin
67
Amlodipine Besylate
40
Losartan Potassium
29
Metformin Hcl Er
Metformin Hcl
27
Methimazole
26
Pioglitazone Hcl
26

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

Endocrinology, Diabetes & Metabolism Physician Overview

How SEJAL DOSHI, MD fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

SEJAL DOSHI, MD's 959 claims are below the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in Illinois

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

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEJAL DOSHI, MD's specialty?
SEJAL DOSHI, MD specializes in Endocrinology, Diabetes & Metabolism Physician and practices in CHICAGO, Illinois. Credentials: MD.
How much does SEJAL DOSHI, MD prescribe under Medicare Part D?
In 2023, SEJAL DOSHI, MD wrote 959 Medicare Part D claims totaling $500K in drug costs for 159 beneficiaries.
Where is SEJAL DOSHI, MD located?
SEJAL DOSHI, MD is located at 1740 W TAYLOR ST, CHICAGO, IL, 60612. Phone: (312) 996-6060.
What is SEJAL DOSHI, MD's NPI number?
SEJAL DOSHI, MD's National Provider Identifier (NPI) is 1619363363, issued on 04/09/2015.
Does SEJAL DOSHI, MD prescribe more brand-name or generic drugs?
SEJAL DOSHI, MD's prescribing is 46% brand-name and 54% generic drugs by claim count, with $471K in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does SEJAL DOSHI, MD prescribe most often?
Based on 2023 Medicare Part D data, SEJAL DOSHI, MD's most frequently prescribed drugs include Trulicity, Ozempic, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEJAL DOSHI, MD accept Medicare?
SEJAL DOSHI, MD appears in CMS Medicare data with 959 Part D claims and 159 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEJAL DOSHI, MD's credentials?
SEJAL DOSHI, MD's NPI is 1619363363 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