Individual provider Active NPI

Vinay Bhushan Sanghi, MD

  • Interventional Cardiology Physician
  • Sierra, AZ
National Provider Identifier
1114911203
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
53705 Issued in AZ
Practice address
1940 E Wilcox St
Ste 102
Sierra, AZ 85635
Phone
(520) 335-2400
Fax
(877) 669-0381
NPI assigned
Sep 6, 2005
Last updated
Oct 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 53705 AZ
Interventional Cardiology Physician 207RI0011X 036-099975 IL
Interventional Cardiology Physician 207RI0011X ME88848 FL
Interventional Cardiology Physician 207RI0011X 53705 AZ Primary

Addresses

Primary practice location

1940 E Wilcox St
Ste 102
Sierra, AZ 85635

Mailing address

1590 Paseo San Luis Ste 102
Sierra Vista, AZ 85635-4783
Phone (520) 335-2400

Other practice location 1

3331 W DeYoung St
Suite 100
Marion, IL 62959-5896
Phone (618) 998-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20170420001461 AZ Practitioner - Cardiovascular Disease (Cardiology) 4284524356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart and Vascular Associates LLCGroup PAC ID 6002169919, 5 clinicians

Practice addresses (Care Compare)

1940 E Wilcox St
Suite 102
Sierra Vista, AZ 85635
Phone (520) 335-2400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.02 of 100Reported as group
Quality
89.28
Improvement activities
40
Cost
81.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting40
Pacemaker insertion or repair25
Varicose vein removal92
Leg revascularization (restoring blood flow)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53705AZMDInterventional Cardiology Physician
ME88848FLMDInterventional Cardiology Physician
036-099975ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Vista Regional Health Center Medical Group LLC Cardiovascular Disease CurrentSince Mar 22, 2017 Accepting new patients
Heart and Vascular Associates LLC Interventional Cardiology CurrentSince Apr 7, 2018 Accepting new patients
Cochise Heart and Vascular Center, LLC Current Accepting new patients
River to River Heart Group, LLC Cardiovascular Disease PastSince Sep 1, 2017 Accepting new patients

Locations

1590 Paseo San Luis
Ste 102
Sierra Vista, AZ 85635
Phone (520) 335-2400

1601 Paseo San Luis
Ste 101
Sierra Vista, AZ 85635
Phone (520) 335-2400

5750 E Highway 90
Ste 200
Sierra Vista, AZ 85635
Phone (520) 263-3500

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1114911203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 PASEO SAN LUIS STE 102",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354783",
            "telephone_number": "520-335-2400",
            "fax_number": "520-335-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 E WILCOX ST",
            "address_2": "STE 102",
            "city": "SIERRA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-335-2400",
            "fax_number": "877-669-0381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3331 W DeYoung St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "IL",
            "postal_code": "629595896",
            "country_code": "US",
            "telephone_number": "618-998-7600",
            "fax_number": "618-997-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGHI",
        "first_name": "VINAY",
        "middle_name": "BHUSHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "53705",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036-099975",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME88848",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "53705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.