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REMA SANGHAVI D.O.
NPI 1104991017
Family Medicine in O Fallon, IL

Active since November 24, 2006PECOS EnrolledAccepts Medicare Assignment
1512 N GREEN MOUNT RD STE 108, O FALLON, IL 62269(618) 624-5510(618) 624-5529 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2022, Mar 5, 2020, Dec 5, 2019 (3 updates tracked since 2019).

About Rema Sanghavi D.o. NPPES

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

REMA SANGHAVI D.O. (NPI 1104991017) is an individual family medicine provider in O Fallon, Illinois, licensed in Illinois (036115837) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1104991017
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameREMA SANGHAVICredential: D.O.
Location Address1512 N GREEN MOUNT RD STE 108O Fallon, IL 62269
Mailing Address1512 N Green Mount Rd Ste 108O Fallon, IL 62269-2083 · (618) 624-5510 · Fax (618) 624-5529
Phone(618) 624-5510
Fax(618) 624-5529
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateNovember 24, 2006
Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1104991017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036115837
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.
1512 N GREEN MOUNT RD STE 108, O Fallon, IL 62269
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Other Identifiers 3

Other08232205IL · Blue Cross Blue Shield
Other036-115837IL · License
Medicaid036115837IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Rema Sanghavi D.o. 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 ID3274533088
PECOS Enrollment IDI20191216001296
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
288 services97 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 services34 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
34 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
26 services18 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.
25 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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 3

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 supplier14 claims14 services$68.82 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$29.79 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers20 claims20 services$183.28 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 3

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

DR. STEVEN ALLEN TAYLOR M.D.
Family Medicine
1512 N GREEN MOUNT RD STE 108
O FALLON, IL 62269
St. Clair County (618) 624-5510
MR. GREGORIO CESAR CLIMACO VII MD
Family Medicine
1512 N GREEN MOUNT RD STE 108
O FALLON, IL 62269
St. Clair County (618) 624-5510
HANNAH JACOBS WEBBER MD
Family Medicine
1512 N GREEN MOUNT RD STE 108
O FALLON, IL 62269
St. Clair County (618) 624-5510

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 Rema Sanghavi's NPI number?

The NPI number for Rema Sanghavi is 1104991017. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Rema Sanghavi located?

Rema Sanghavi practices at 1512 N Green Mount Rd Ste 108, O Fallon, IL 62269. The listed phone number is (618) 624-5510.

What is Rema Sanghavi's specialty?

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

Is Rema Sanghavi enrolled in Medicare?

Yes. Rema Sanghavi 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 Rema Sanghavi accept?

Health plans from UnitedHealthcare list Rema Sanghavi 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 Rema Sanghavi affiliated with any hospitals?

According to CMS data, Rema Sanghavi is affiliated with St Johns Hospital, St Josephs Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Rema Sanghavi was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.