Active NPI
Sangeeta Pal, MD
- Nephrology Physician
- Dowagiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- R7844
- Practice address
- 520 Main St
Dowagiac, MI 49047-1762 - Phone
- (269) 783-3052
- NPI assigned
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301091458 | MI | |
| Nephrology Physician | 207RN0300X | R7844 | TX | Primary |
Addresses
Primary practice location
520 Main St
Dowagiac, MI 49047-1762
Mailing address
5943 Stadium Dr
Ste 1
Kalamazoo, MI 49009-3016
Other practice location 1
1400 S Main St
Fort Worth, TX 76104-4909
Phone (817) 702-6926 ext. 81770
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827003013 | TX | Practitioner - Nephrology | 2466526231 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Acclaim Physician Group Inc
Practice addresses (Care Compare)
1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701
1350 S Main St
Suite 3200
Fort Worth, TX 76104-7669
Phone (817) 702-8400
1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701
Hospital & facility affiliations
- JPS Health Network
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R7844 | TX | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Internal Medicine | Current | Accepting new patients |
| Ascension Borgess Lee Hospital | Past | Accepting new patients | |
| PPG Health, PA | Internal Medicine | Past | Accepting new patients |
Locations
1350 S Main St
Ste 320
Fort Worth, TX 76104
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1400 S Main St
Fort Worth, TX 76104
Phone 81756947004703
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
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.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
Internal Medicine, TX
-
- Critical Access Hospital
- Dowagiac, MI
- NPI 1194771030
Hospital & facility affiliations 1
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": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1306017645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5943 STADIUM DR",
"address_2": "STE 1",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 MAIN ST",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471762",
"telephone_number": "269-783-3052"
}
],
"practiceLocations": [
{
"address_1": "1400 S Main St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044909",
"country_code": "US",
"telephone_number": "817-702-6926 x81770",
"fax_number": "817-927-3603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAL",
"first_name": "SANGEETA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301091458",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "R7844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dowagiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.