Marc Alan Sangalli, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

J4500 Issued in TX

Practice address

2112 Regional Medical Dr Ste 1319
Wharton, TX 77488-1413

Phone

(713) 486-7630

Fax

(979) 532-6790

NPI assigned

Apr 13, 2006

Last updated

Oct 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

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

Obstetrics/Gynecology

Education

University of Texas Medical School at San Antonio, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
• El Campo Memorial Hospital Hospital, El Campo, TX, CCN 450694

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msangalli13619@direct.uth.org

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.

• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Memorial Hermann Medical Group

  • Family Medicine Physician
  • Fulshear, TX
  • NPI 1003985102
  Medicare reassignment
• Ut Physicians

  dba UT Health Services

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD
• Memorial Hermann Health System

  dba Memorial Hermann Sugar Land Hospital

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735
  NPD (past)
• South Texas Medical Clinics, P.a.

  • General Practice Physician
  • East Bernard, TX
  • NPI 1114077427
  NPD (past)
• South Texas Medical Clinics, P.a.

  • General Practice Physician
  • Wharton, TX
  • NPI 1770688905
  NPD (past)

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

• El Campo Memorial Hospital

  dba Mid Coast Medical Clinic - Trinity

  • General Acute Care Hospital
  • El Campo, TX
  • NPI 1003192311
  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Sugar Land Hospital

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735
  Care Compare affiliation

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1083678312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 REGIONAL MEDICAL DR STE 1319",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774881413",
            "telephone_number": "713-486-7630",
            "fax_number": "979-532-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 REGIONAL MEDICAL DR STE 1319",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774881413",
            "telephone_number": "713-486-7630",
            "fax_number": "979-532-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGALLI",
        "first_name": "MARC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J4500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX#",
            "identifier": "85Z654",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118843507",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GBA - RAILROAD MEDICARE",
            "identifier": "160039180",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118843501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS#",
            "identifier": "8DE545",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Wharton, TX
• Providers in Wharton, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.