Sanjay Udani, MD is a medicare enrolled "Hospitalist" physician in Agoura, California. His current practice location is
5737 Kanan Rd, #454, Agoura, California. You can reach out to his office (for appointments etc.) via phone at
(818) 964-1801.
Sanjay Udani is licensed to practice in Florida (license number ME162676) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578604690.
Physician's Profile
| Full Name | Sanjay Udani |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 5737 Kanan Rd, Agoura, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578604690
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 07/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648586271
- Enrollment ID: I20150827002227
Medical Identifiers
Medical identifiers for Sanjay Udani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578604690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 4301502046 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 036141765 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | A54697 (California) | Secondary |
| 208M00000X | Hospitalist | 2019034404 (Missouri) | Secondary |
| 208M00000X | Hospitalist | 01084442A (Indiana) | Secondary |
| 208M00000X | Hospitalist | 0101269836 (Virginia) | Secondary |
| 208M00000X | Hospitalist | 036141765 (Illinois) | Secondary |
| 208M00000X | Hospitalist | A54697 (California) | Secondary |
| 208M00000X | Hospitalist | ME162676 (Florida) | Primary |
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. Sanjay Udani allows following entities to bill medicare on his behalf.
| Entity Name | Galen Inpatient Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689320459
PECOS PAC ID: 3678464633
Enrollment ID: O20040322000680 |
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| Entity Name | Hospitalist Medicine Physicians Of California Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956 |
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| Entity Name | California Emergency Physicians Medical Group A Professional Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215365218
PECOS PAC ID: 3274763875
Enrollment ID: O20140227000392 |
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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. Sanjay Udani 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 Address | Practice Location Address |
|---|
Sanjay Udani, MD
5737 Kanan Rd, #454,
Agoura, CA 91301-1601
Ph: (818) 964-1801 | Sanjay Udani, MD
5737 Kanan Rd, #454,
Agoura, CA 91301-1601
Ph: (818) 964-1801 |
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