Kirti Prakash Sanghvi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301082762 Issued in MI

Practice address

2111 Orchard Lake Rd
Sylvan Lake, MI 48320-1785

Phone

(248) 451-1092

Fax

(248) 451-1096

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sylvan Lake Family Practice PLCGroup PAC ID 8123056827, 2 clinicians

Baco Care Services LLCGroup PAC ID 6103286737, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirti.sanghvi@slfp1.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FJHHCA/Endpoint/FJHHCA

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

• Baco Care Services LLC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1780294850
  Medicare reassignment Care Compare group NPD
• Sylvan Lake Family Practice PLC

  • Family Medicine Physician
  • Sylvan Lake, MI
  • NPI 1699880989
  Medicare reassignment Care Compare group NPD
• Ashok Gupta, M.D., P.L.L.C.

  • Internal Medicine Physician
  • Keego Harbor, MI
  • NPI 1114118981
  NPD (past)
• Cardiology and Vascular Associates PC

  dba Medical Care corporation

  • Family Nurse Practitioner
  • Bloomfield Hills, MI
  • NPI 1740473396
  NPD (past)
• Cardiology and Vascular Associates PC

  dba Medical Care Corporation

  • Internal Medicine Physician
  • Bloomfield Hills, MI
  • NPI 1962478743

  Family Medicine

  NPD (past)
• Eti Gursel MD PC

  • Plastic and Reconstructive Surgery Physician
  • Southfield, MI
  • NPI 1851539357
  NPD (past)

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

• St Joseph Mercy Hospital-SMHC

  dba St Joseph Mercy Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352
  Care Compare affiliation

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1043439219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201785",
            "telephone_number": "248-451-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 ORCHARD LAKE RD",
            "city": "SYLVAN LAKE",
            "state": "MI",
            "postal_code": "483201785",
            "telephone_number": "248-451-1092",
            "fax_number": "248-451-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHVI",
        "first_name": "KIRTI",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301082762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "700F37550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michigan Family Medicine, PLLC
• Michigan Family Medicine, PLLC
• Kendra E Moss
• Ronald Charles Ogusky, PH.D.
• Renaissance Health Services
• Prakash N Sanghvi, M.D.
• Self Care Medical Equipment Inc. (Self-Care Medical Equipment)
• Sylvan Lake Family Practice PLC
• The Path to Wholeness LLC
• Violet Health PC

• Family Medicine Physician in Sylvan Lake, MI
• Providers in Sylvan Lake, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.