Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sanjay Penmetcha, MD

Individual provider Emergency Medicine Physician · NPI 1568489185

Sanjay Penmetcha, MD is an Internal Medicine in Chicago Heights, Illinois. Qualified in 1992, 34 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
34
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

30 E 15th St
Chicago Heights, IL 60411-3459
Phone: (708) 756-5454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036097423 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-097423 (IL)

Record details

NPI number1568489185
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJune 18, 2008
Mailing address30 E 15th St, Chicago Heights, IL 60411-3459

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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