Individual provider Active NPI

Sonal A Sanghvi, PA-C

  • Medical Physician Assistant
  • Moline, IL
National Provider Identifier
1689853111
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001859 Issued in IA
Practice address
350 John Deere Rd
Moline, IL 61265-6899
Phone
(309) 743-6700
Fax
(309) 743-6709
NPI assigned
Nov 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001859 IA Primary

Addresses

Primary practice location

350 John Deere Rd
Moline, IL 61265-6899

Mailing address

1236 E Rusholme St
Suite 300
Davenport, IA 52803-2434
Phone (563) 324-2992

Other identifiers 10

IdentifierTypeStateIssuer
001859OtherIAPA LICENSE NUMBER
42106072402OtherILMEDICARE GROUP
CP8565OtherRR MEDICARE GROUP
13238OtherIAMEDICARE PART B GROUP
13238OtherIABCBS GROUP
0080200OtherIAMEDICAID GROUP
5101108OtherIACSC RIVER DRIVE
8122859OtherILBCBS GROUP
16-1801OtherIAMEDICARE NGS GROUP
16D0387805OtherIACLIA RIVER DRIVE

Other names 1

  • Sonal A Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090707000613 IL Practitioner - Physician Assistant 0446349542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Institute Gpe IncGroup PAC ID 9739697574, 51 clinicians

Practice addresses (Care Compare)

16519 S Route 59
Suite a
Plainfield, IL 60586-2608
Phone (630) 600-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001859IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Institute Gpe Inc CurrentSince Sep 4, 2025 Accepting new patients
Rush University Medical Center CurrentSince Nov 25, 2019 Accepting new patients
Rush University Medical Group CurrentSince Nov 25, 2019 Accepting new patients

Locations

1725 W Harrison St
Ste 1159
Chicago, IL 60612
Phone (312) 942-5020

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904

75 Remittance Dr
Dept 1611
Chicago, IL 60675

133 E Brush Hill Rd
Ste 202
Elmhurst, IL 60126
Phone (331) 231-6200

10 Martin Ave
Ste 200
Naperville, IL 60540
Phone (630) 369-1572

801 S Washington St
Fl 4
Naperville, IL 60540
Phone (630) 416-8500

16519 S Route 59
Ste A
Plainfield, IL 60586
Phone (630) 600-0700

Interoperability endpoints

  • Direct secure messaging: spatel159256@direct.rush.rush-health.com

Organizations & group practices 4

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 4

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1689853111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032434",
            "telephone_number": "563-324-2992",
            "fax_number": "563-888-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 JOHN DEERE RD",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656899",
            "telephone_number": "309-743-6700",
            "fax_number": "309-743-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGHVI",
        "first_name": "SONAL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE NUMBER",
            "identifier": "001859",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "42106072402",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CP8565",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B GROUP",
            "identifier": "13238",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "13238",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "0080200",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSC RIVER DRIVE",
            "identifier": "5101108",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "8122859",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NGS GROUP",
            "identifier": "16-1801",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA RIVER DRIVE",
            "identifier": "16D0387805",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONAL",
            "last_name": "PATEL",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.