Individual provider Active NPI

Sanjay Sangal, M.D.

  • Anesthesiology Physician
  • Fremont, OH
National Provider Identifier
1366483224
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35057412 Issued in OH
Practice address
715 S Taft Ave
Fremont, OH 43420-3200
Phone
(419) 334-6624
Fax
(419) 334-6602
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35057412 OH Primary

Addresses

Primary practice location

715 S Taft Ave
Fremont, OH 43420-3200

Mailing address

3455 Stonebrooke LN
Maumee, OH 43537-9613
Phone (419) 334-6624

Other identifiers 1

IdentifierTypeStateIssuer
0936885MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061109000640 OH Practitioner - Anesthesiology 5799685939 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wright State University Boonshoft School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Ohio Anesthesia Consultants LLCGroup PAC ID 6901700640, 362 clinicians

Practice addresses (Care Compare)

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057412OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Anesthesiology CurrentSince Jan 4, 2021 Accepting new patients
Northstar Anesthesia of Ohio LLC Anesthesiology CurrentSince Aug 1, 2015 Accepting new patients
Anesthesia & Intensive Care Consultants,Inc. Anesthesiology CurrentSince Jan 18, 2022 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Jan 18, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Dec 8, 2019 Accepting new patients
Promedica Central Physicians CurrentSince Dec 8, 2019 Accepting new patients
Memorial Anesthesia, LTD. Anesthesiology Past Accepting new patients

Locations

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

11100 Euclid Ave
Cleveland Heights, OH 44106

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

2600 Navarre Ave
Fl 3
Oregon, OH 43616
Phone (419) 696-7701

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

Organizations & group practices 7

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.

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1366483224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 STONEBROOKE LN",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379613",
            "telephone_number": "419-334-6624",
            "fax_number": "419-334-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S TAFT AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203200",
            "telephone_number": "419-334-6624",
            "fax_number": "419-334-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGAL",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35057412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0936885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.