Premal C. Sanghavi, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101252518 Issued in VA

Practice address

125 Hospital Center Blvd
Suite 125
Stafford, VA 22554-6202

Phone

(540) 741-7933

Fax

(540) 741-7934

NPI assigned

Jun 11, 2007

Last updated

Jul 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

General Surgery

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Premal Sanghavi MD Inc

  • Surgery Physician
  • Glendale, CA
  • NPI 1790231397
  Medicare reassignment NPD

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

• Dignity Community Care

  dba California Hospital Medical Center - Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114081056
  Care Compare affiliation

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1487858916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OLDE GREENWICH DR",
            "address_2": "SUITE 160",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084001",
            "telephone_number": "540-741-0544",
            "fax_number": "540-741-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HOSPITAL CENTER BLVD",
            "address_2": "SUITE 125",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225546202",
            "telephone_number": "540-741-7933",
            "fax_number": "540-741-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHAVI",
        "first_name": "PREMAL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101252518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Alberto Salinas, LPTA
• Anne Marie Mayo Salvanera, LPC
• Wakman Samim Amin
• Ciara San Juan
• Texeria Sanders-Jackson
• Carolina Muriel Santillan
• Monica Elizabeth Santos
• Yogesh Sapre
• Saumitra Saravana, D.M.D.
• Magno Porter Sartorio

• Surgery Physician in Stafford, VA
• Providers in Stafford, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.

Verify at the official NPI Registry.