Individual provider Active NPI

Shreya Kangovi, MD

  • Hospitalist Physician
  • Philadelphia, PA
National Provider Identifier
1295891760
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD435110 Issued in PA
Practice address
3701 Market St
6TH Floor, Suite 640
Philadelphia, PA 19104-5502
Phone
(215) 662-2250
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD435110 PA
Hospitalist Physician 208M00000X MD435110 PA Primary

Addresses

Primary practice location

3701 Market St
6TH Floor, Suite 640
Philadelphia, PA 19104-5502

Mailing address

3701 Market St
6TH Floor, Suite 640
Philadelphia, PA 19104-5502
Phone (215) 662-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120727000471 PA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Hospitalist 2264698745 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Community Medicine PA CurrentSince Jun 13, 2025 Accepting new patients
University of Penn - Medical Group Internal Medicine CurrentSince Jul 1, 2013 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 1, 2013 Accepting new patients

Locations

3701 Market St
Ste 640
Philadelphia, PA 19104
Phone (215) 662-2250

2929 Arch St
Ste 1700
Philadelphia, PA 19104
Phone (609) 934-2597

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1295891760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MARKET ST",
            "address_2": "6TH FLOOR, SUITE 640",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045502",
            "telephone_number": "215-662-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MARKET ST",
            "address_2": "6TH FLOOR, SUITE 640",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045502",
            "telephone_number": "215-662-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGOVI",
        "first_name": "SHREYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD435110",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD435110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.