FORUM NITIN SANGHAVI DO, MHSA
NPI 1154062669
Family Medicine in Washington, DC

Active since April 06, 2022PECOS EnrolledAccepts Medicare Assignment
4414 BENNING RD NE, WASHINGTON, DC 20019(202) 469-4699(202) 548-8680 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2026, Sep 4, 2025, Aug 5, 2025 and 1 more (4 updates tracked since 2022).

About Forum Nitin Sanghavi Do, Mhsa NPPES

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

FORUM NITIN SANGHAVI DO, MHSA (NPI 1154062669) is an individual family medicine provider in Washington, District Of Columbia, licensed in Maryland (D0103714) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Front Royal, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154062669
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameFORUM NITIN SANGHAVICredential: DO, MHSA
Location Address4414 BENNING RD NEWashington, DC 20019-4555
Mailing Address13558 Litza WayWoodbridge, VA 22192-3936
Fax(202) 548-8680
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 6, 2022
Last NPPES UpdateAugust 3, 20264 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1154062669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0103714
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.
4414 BENNING RD NE, Washington, DC 20019

Secondary Practice Location 1

Location 1351 Valley Health Way Ste 300Front Royal, VA 22630-6480 · Phone (540) 823-4600

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Forum Nitin Sanghavi Do, Mhsa 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 ID2062895105
PECOS Enrollment IDI20250825001538
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Forum Sanghavi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
3020 14TH ST NW
Washington, DC 20009
  • Reassigned Medicare billing, District of Columbia enrollment
  • 343 clinicians in this Medicare group
Emergency Medicine
351 VALLEY HEALTH WAY
Front Royal, VA 22630
  • Reassigned Medicare billing, Virginia enrollment
  • 367 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20019 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Internal Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Registered Nurse (Pediatrics)
4414 BENNING RD NE
WASHINGTON, DC 20019
Obstetrics & Gynecology
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019
Social Worker
4414 BENNING RD NE
WASHINGTON, DC 20019
Family Medicine
4414 BENNING RD NE
WASHINGTON, DC 20019

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 Forum Sanghavi's NPI number?

The NPI number for Forum Sanghavi is 1154062669. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Forum Sanghavi located?

Forum Sanghavi practices at 4414 Benning Rd NE, Washington, DC 20019. The listed phone number is (202) 469-4699.

What is Forum Sanghavi's specialty?

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

Is Forum Sanghavi enrolled in Medicare?

Yes. Forum 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.

Which organizations bill Medicare for Forum Sanghavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Forum Sanghavi reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Washington, DC), Unity Health Care, Inc. (Washington, DC) and Warren Memorial Hospital, Inc. (Front Royal, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Forum Sanghavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Forum Sanghavi accept?

Health plans from CareSource list Forum 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.

When was this NPI record last updated?

The NPPES record for Forum Sanghavi was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.