NPIMap

Individual provider Active NPI

Sanjeevkumar Ashok Patel, M.D

  • Pulmonary Disease Physician
  • Appleton, WI
National Provider Identifier
1033422860
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
65141-20 Issued in WI
Practice address
2500 E Capitol Dr Ste 1700
Appleton, WI 54911-8735
Phone
(920) 734-4773
NPI assigned
Jul 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 65141-20 WI Primary

Addresses

Primary practice location

2500 E Capitol Dr Ste 1700
Appleton, WI 54911-8735

Mailing address

921 Carriage Circle LN
Apt. a
Kirkwood, MO 63122-6485

Other practice location 1

200 Theda Clark Medical Plz Ste 480
Neenah, WI 54956-2790
Phone (920) 729-0608

Other practice location 2

191 Memorial Dr Ste 300
Berlin, WI 54923-1241
Phone (920) 361-2500

Other identifiers 1

IdentifierTypeStateIssuer
100056119MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160712001155 WI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7911149448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Saint Louis University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Pulmonary Medicine SCGroup PAC ID 6002707320, 12 clinicians

Practice addresses (Care Compare)

2500 E Capitol Dr
Suite 2600
Appleton, WI 54911-8735
Phone (920) 358-1139

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
65141-20WIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Pulmonary Medicine, S.C. Pulmonary Disease CurrentSince Aug 1, 2016 Accepting new patients

Locations

2500 E Capitol Dr
Ste 2600
Appleton, WI 54911
Phone (920) 358-1139

2500 E Capitol Dr
Ste 1700
Appleton, WI 54911
Phone (920) 734-9600

191 Memorial Dr
Ste 300
Berlin, WI 54923
Phone (920) 358-1139

200 Theda Clark Medical Plz
Ste 480
Neenah, WI 54956
Phone (920) 729-0608

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1033422860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CARRIAGE CIRCLE LN",
            "address_2": "APT. A",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E CAPITOL DR STE 1700",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118735",
            "telephone_number": "920-734-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Theda Clark Medical Plz Ste 480",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562790",
            "country_code": "US",
            "telephone_number": "920-729-0608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Memorial Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "WI",
            "postal_code": "549231241",
            "country_code": "US",
            "telephone_number": "920-361-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SANJEEVKUMAR",
        "middle_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "65141-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100056119",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.