NPIMap

Individual provider Active NPI

Geetanjli Sangwan, M.D.

  • Cardiovascular Disease Physician
  • Portsmouth, VA
National Provider Identifier
1912193848
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101284878 Issued in VA
Practice address
3640 High St Ste 1E
Portsmouth, VA 23707-3213
Phone
(757) 399-2639
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 270117 NY
Cardiovascular Disease Physician 207RC0000X 0101284878 VA Primary
Cardiovascular Disease Physician 207RC0000X P54595 NY

Addresses

Primary practice location

3640 High St Ste 1E
Portsmouth, VA 23707-3213

Mailing address

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 713-6765

Other practice location 1

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 713-6765

Other identifiers 1

IdentifierTypeStateIssuer
03228475MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, VA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100812001070 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9830223874
I20241113003011 OH Practitioner - Cardiovascular Disease (Cardiology) 9830223874 Reassigns benefits to 1 organization
I20250425000051 VA Practitioner - Cardiovascular Disease (Cardiology) 9830223874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Virginia Commonwealth University, School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians

Practice addresses (Care Compare)

1030 Hillpoint Blvd N
Suffolk, VA 23434-8470
Phone (757) 539-0444

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

301 Goode Way
Suite 102
Portsmouth, VA 23704-2266
Phone (757) 399-2639

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270117NYMDCardiovascular Disease Physician
P54595NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince May 19, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 1, 2024 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Cardiovascular Disease CurrentSince May 19, 2025 Accepting new patients
Premier Health Specialists Inc Cardiovascular Disease CurrentSince Nov 1, 2024 Accepting new patients
Claxton-Hepburn Medical Center Past Accepting new patients

Locations

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

9000 N Main St
Ste 101
Englewood, OH 45415

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

3640 High St
Ste 1E
Portsmouth, VA 23707
Phone (757) 398-2200

1030 Hillpoint Blvd N
Suffolk, VA 23434
Phone (757) 539-0444

Interoperability endpoints

  • Direct secure messaging: gsangwan359370@direct.wvuhsdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1912193848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 KING ST",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136691142",
            "telephone_number": "315-713-6765",
            "fax_number": "866-208-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HIGH ST STE 1E",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073213",
            "telephone_number": "757-399-2639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 King St",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "136691142",
            "country_code": "US",
            "telephone_number": "315-713-6765",
            "fax_number": "866-208-0207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGWAN",
        "first_name": "GEETANJLI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "270117",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101284878",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "P54595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03228475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.