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DR. KIRTI PRAKASH SANGHVI M.D.
NPI 1043439219
Family Medicine in Sylvan Lake, MI

Active since April 25, 2007PECOS EnrolledAccepts Medicare Assignment
2111 ORCHARD LAKE RD, SYLVAN LAKE, MI 48320(248) 451-1092(248) 451-1096 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kirti Prakash Sanghvi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIRTI PRAKASH SANGHVI M.D. (NPI 1043439219) is an individual family medicine provider in Sylvan Lake, Michigan, licensed in Michigan (4301082762) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1043439219
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIRTI PRAKASH SANGHVICredential: M.D.
Location Address2111 ORCHARD LAKE RDSylvan Lake, MI 48320-1785
Mailing Address2111 Orchard Lake RdSylvan Lake, MI 48320-1785 · (248) 451-1092
Phone(248) 451-1092
Fax(248) 451-1096
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateApril 25, 2007
Last NPPES UpdateJune 8, 2021
NPPES CertifiedJune 8, 2021
✔ NPI 1043439219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301082762
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2111 ORCHARD LAKE RD, Sylvan Lake, MI 48320
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Other Identifiers 1

Other700F37550MI · Bcbsm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kirti Prakash Sanghvi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426149279
PECOS Enrollment IDI20070808000171
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
148 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
44 services32 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
44 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$64.07 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$28.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASHOK GUPTA M.D.
Internal Medicine
2111 ORCHARD LAKE RD
SYLVAN LAKE, MI 48320
Oakland County (248) 681-6577
SYLVAN LAKE FAMILY PRACTICE PLC
Family Medicine
2111 ORCHARD LAKE RD
SYLVAN LAKE, MI 48320
Oakland County (248) 451-1092
DEAF COMMUNITY ADVOCACY NETWORK, INC.
Case Management
2111 ORCHARD LAKE RD, SUITE 101
SYLVAN LAKE, MI 48320
Oakland County (248) 332-3331
PRAKASH N SANGHVI M.D.
Family Medicine
2111 ORCHARD LAKE RD
SYLVAN LAKE, MI 48320
Oakland County (248) 451-1092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirti Sanghvi's NPI number?

The NPI number for Kirti Sanghvi is 1043439219. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Kirti Sanghvi located?

Kirti Sanghvi practices at 2111 Orchard Lake Rd, Sylvan Lake, MI 48320. The listed phone number is (248) 451-1092.

What is Kirti Sanghvi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kirti Sanghvi enrolled in Medicare?

Yes. Kirti Sanghvi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kirti Sanghvi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Kirti Sanghvi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kirti Sanghvi affiliated with any hospitals?

According to CMS data, Kirti Sanghvi is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Kirti Sanghvi was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.