Shalin R. Sanghvi, M.D.
Individual provider Active NPI Nephrology Physician · Springfield, OR
NPI 1366490914 · NPPES record last updated Jan 28, 2022
Key facts
- NPI
- 1366490914
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- MD27337 (OR)
- Practice address
- 3355 Riverbend Dr
Suite 200
Springfield, OR 97477-8800 - Phone
- (541) 485-6478
- Fax
- (541) 485-0452
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Michigan State University College of Human Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Eugene Springfield Nephrology Associates PC
Advanced Vascular Centers Eugene LLC
Practice addresses (Care Compare)
1077 Gateway Loop
Springfield, OR 97477-1114
Phone (541) 485-6478
1200 Gateway Loop
Springfield, OR 97477-1176
Phone (503) 683-7730
Hospital & facility affiliations
- Fresenius Kidney Care West Eugene
- FMC Emerald Valley
- FMC Coos Bay
- Qualicenters - Albany LTD
- FMC Eugene
- Sacred Heart Medical Center - Riverbend
- Peace Harbor Medical Center
- Peacehealth Cottage Grove Community Medical Center
- McKenzie-Willamette Medical Center
- Bay Area Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070827000568 | OR | Practitioner - Nephrology | 6800988429 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46569 | WI | MD | Internal Medicine Physician |
| MD27337 | OR | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene Springfield Nephrology Associates, PC | Nephrology | Current |
Accepting new patients |
| Advanced Vascular Centers Eugene LLC | Nephrology | Current |
Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
1077 Gateway Loop
Springfield, OR 97477
Phone (541) 485-6478
1200 Gateway Loop
Springfield, OR 97477
Phone (503) 683-7730
3355 Riverbend Dr
Ste 200
Springfield, OR 97477
Phone (541) 485-6478
Interoperability endpoints
- ssanghvi@yourcarecommunity.org
- ssanghvi42321@direct.acumenmd.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 46569 | WI | |
| Nephrology Physician | 207RN0300X | MD27337 | OR | Yes |
Addresses
Primary practice location
3355 Riverbend Dr
Suite 200
Springfield, OR 97477-8800
Mailing address
3355 Riverbend Dr
Suite 200
Springfield, OR 97477-8800
Phone (541) 485-6478
Other practice location 1
1200 Gateway Loop
1200
Springfield, OR 97477-9747
Phone (503) 683-7730
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274407 | Medicaid | OR |
Other providers in Springfield, OR
- James David Sanchez
- Marissa Maryann Sanchez
- Mary Jo Sanders
- Alberto Sandoval
- Justin Basilio Rosales Sandoval
- Ali Sangi
- Toni Ann Santos
- Lakshmi Sai Manasa Sarvepalli
- Kazuya Sasaki
- Elizabeth Catherine Gomez Sasse
All providers in Springfield, OR · Nephrology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.