Sanjay V. Vadgama, M.D.
NPI 1679548556ActiveIndividual· Internal Medicine, Pulmonary Disease· Sherman Oaks, CA
Internal Medicine, Pulmonary Disease (M.D.) in Sherman Oaks, California, trained at University of California, Geffen School of Medicine (class of 1996). Their prescriptions cost Medicare Part D more than their services did: $612,016 for 930 claims, against $390,547 paid for services in 2024. United Therapeutics Corporation was the largest of 14 companies reporting payments in 2025, $836.72 in all, mostly food and beverage.
Overview
| NPI | 1679548556 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Feb 22, 2006 |
| Last updated in NPPES | Nov 1, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Pulmonary Disease Primary | 207RP1001X | A80650 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pulmonary Disease (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 640 |
|---|---|
| Services billed | 4,650 across 29 procedure codes |
| Paid by Medicare | $390,547 |
Part D prescriptions in 2024
| Prescriptions (claims) | 930 · 1,045 30-day fills |
|---|---|
| Patients | 85 |
| Total drug cost | $612,016 |
| Generic share | 59% of claims |
Education and affiliations
| Medical school | University of California, Geffen School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Pulmonary Disease |
| Secondary specialties | Sleep Medicine |
| Telehealth | Offers telehealth |
Medical group
- Mid-Valley Pulmonary Medical Group, Inc.Sherman Oaks, CA · 11 clinicians
Hospital affiliations
- Encino Hospital Medical CenterEncino, CA
- Providence Cedars Sinai Tarzana Medical CenterTarzana, CA
- Sherman Oaks HospitalSherman Oaks, CA
- Valley Presbyterian HospitalVan Nuys, CA
Other facilities
- Arden Home Health IncHome health agency · Calabasas, CA
- Arma Home Health Care, IncHome health agency · Northridge, CA
- Wellness Healthcare, IncHome health agency · N Hollywood, CA
- Valley Presbyterian Hospital Rehabilitation CenterInpatient rehabilitation facility · Van Nuys, CA
- Barlow Respiratory HospitalLong-term care hospital · Los Angeles, CA
- Berkley Post-AcuteNursing home · Van Nuys, CA
- Lake Balboa Care CenterNursing home · Van Nuys, CA
Industry payments (Open Payments)
- 2025$836.72 · 31 payments from 14 companies
- 2024$1,777 · 67 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| United Therapeutics Corporation | $189.14 | 4 |
| Glaxosmithkline, LLC. | $137.80 | 5 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $103.81 | 4 |
| Insmed, Inc. | $96.84 | 3 |
| Zoll Services LLC (A/K/A Zoll Lifecor Corp) | $59.50 | 3 |
What the 2025 payments were for
- Food and Beverage$836.72 · 31 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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