Sanjay Havaldar, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

116190 Issued in MO

Practice address

3901 S Fremont Ave
Springfield, MO 65804-6538

Phone

(417) 875-3000

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Gastroenterology

Education

University of Missouri, Columbia School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Medical Centers Hospital, Springfield, MO, CCN 260040

Merit-based Incentive Payment System (MIPS)

Final score

81.52 of 100Reported as group

Quality

61.64

Promoting interoperability

100

Improvement activities

40

Cost

76.77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sanjay.havaldar@cernerdirect.coxhealth.com

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.

• Lester E Cox Medical Centers

  • Cardiovascular Disease Physician
  • Springfield, MO
  • NPI 1750036703
  Medicare reassignment Care Compare group NPD
• Lester E Cox Medical Centers

  • Neurology Physician
  • Springfield, MO
  • NPI 1023763414
  NPD
• Lester E Cox Medical Centers

  • Gastroenterology Physician
  • Springfield, MO
  • NPI 1184372674
  NPD
• Ferrell Duncan Clinic, Inc

  • Multi-Specialty Clinic/Center
  • Springfield, MO
  • NPI 1326099383
  NPD (past)
• Lester E Cox Medical Centers

  • Family Medicine Physician
  • Willow Springs, MO
  • NPI 1417122326
  NPD (past)
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

• Lester E Cox Medical Centers

  • General Acute Care Hospital
  • Springfield, MO
  • NPI 1093740128
  Care Compare affiliation
• Lester E Cox Medical Centers

  • Land Ambulance
  • Springfield, MO
  • NPI 1114044823

  Hospital

  Care Compare affiliation
• Lester E. Cox Medical Centers

  • Air Ambulance
  • Springfield, MO
  • NPI 1578680286

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1881637296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007",
            "telephone_number": "417-875-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 S FREMONT AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046538",
            "telephone_number": "417-875-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVALDAR",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "116190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203834106",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "114559",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Patrick Hathcock, PT
• Kayelin Hathorn, ACNP
• Jacqueline A. Hauer, M.D.
• Krista Ann Haugland, OTR
• Mitchell Dean Hauschildt, MA, ATC, CSCS
• Richard L Havens, CRNA
• Marc Havlicek, PA-C
• Jacob Havlin
• Tiffany Sue Havlin, PH.D., LCSW
• Arthur S Hawes, MD

• Gastroenterology Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Gastroenterology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.