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CHANDRA PRAKASH SANWAL D.O.
NPI 1235662735
Internal Medicine - Hematology in South Miami, FL

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
7000 SW 62ND AVE STE 401, SOUTH MIAMI, FL 33143(305) 284-7594 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2024, Jun 7, 2023, Apr 5, 2023 and 1 more (4 updates tracked since 2017).

About Chandra Prakash Sanwal D.o. NPPES

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

CHANDRA PRAKASH SANWAL D.O. (NPI 1235662735) is an individual hematology provider in South Miami, Florida, licensed in Texas (R9682) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1235662735
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameCHANDRA PRAKASH SANWALCredential: D.O.
Location Address7000 SW 62ND AVE STE 401South Miami, FL 33143-4721
Mailing Address20614 Stone Oak Pkwy, Apt 312San Antonio, TX 78258 · (813) 760-9742
Phone(305) 284-7594
Sole ProprietorYes
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateApril 17, 20254 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1235662735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in TX · R9682
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS17247 (FL), R9682 (TX)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License R9682 (TX)
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License R9682 (TX)
7000 SW 62ND AVE STE 401, South Miami, FL 33143
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Secondary Practice Locations 3

Location 17101 South Padre Island DriveCorpus Christi, TX 78412 · Phone (813) 760-9742
Location 21415 Santa Fe StCorpus Christi, TX 78404-2105 · Phone (361) 737-0600
Location 35920 Saratoga Blvd Ste 395Corpus Christi, TX 78414-4137 · Phone (877) 465-1856

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare and more.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

Chandra Prakash Sanwal 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 ID4789014291
PECOS Enrollment IDI20200424000964
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

5

Medicare enrollment records show Chandra Sanwal reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

MD Now Medical Centers Inc
21 mi
Urgent Care
16040 PINES BLVD
Pembroke Pines, FL 33027
  • Reassigned Medicare billing, Florida enrollment
  • 373 clinicians in this Medicare group
NPI 1265107361 (561) 420-8555
Eastside Hospitalists Inc
23 mi
Hospitalist
3501 JOHNSON ST
Hollywood, FL 33021
  • Reassigned Medicare billing, Florida enrollment
  • 413 clinicians in this Medicare group
NPI 1285676957 (954) 265-2000
Hospitalist Medicine Physicians Of Texas, PLLC
962 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Christus Trinity Clinic Texas
1,015 mi
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
NPI 1285684225 (903) 315-4119
Cogent Healthcare Of Texas, PA
1,108 mi
Internal Medicine
8200 WALNUT HILL LN
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,208 clinicians in this Medicare group
NPI 1992722953 (214) 345-7585

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

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.
159 services53 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.
40 services24 patients
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.
35 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services23 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.
27 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Christus Spohn Hospital Corpus Christi

Acute Care Hospitals · Corpus Christi, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly

Christus Spohn Hospital Beeville

Acute Care Hospitals · Beeville, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450082
Location1500 E Houston HwyBeeville, TX 78102 · Bee County
Emergency services Birthing friendly

Christus Spohn Hospital Kleberg

Acute Care Hospitals · Kingsville, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450163
Location1311 General Cavazos BlvdKingsville, TX 78363 · Kleberg County
Emergency services Birthing friendly

Christus Spohn Hospital Alice

Acute Care Hospitals · Alice, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450828
Location2500 E Main StreetAlice, TX 78332 · Jim Wells County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 16

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

DR. DE'JON PARKER DO
Physical Medicine & Rehabilitation
7000 SW 62ND AVE STE 401
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
ROBERTO REYES RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
7000 SW 62ND AVE STE 401
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7500
DR. SHAMIN PARAJULI MD
Student in an Organized Health Care Education/Training Program
7000 SW 62ND AVE STE 401
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7648
ALEXIS URQUIZA HURTADO MD
Student in an Organized Health Care Education/Training Program
7000 SW 62ND AVE STE 401
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
PATRICIA FERNANDEZ URGELL
Student in an Organized Health Care Education/Training Program
7000 SW 62ND AVE STE 401
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
DANIELA IRINA MIELNIK MD
Student in an Organized Health Care Education/Training Program
7000 SW 62ND AVE STE 401
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
YARENA URQUIZA HURTADO MD
Student in an Organized Health Care Education/Training Program
7000 SW 62ND AVE STE 401
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7761
CYNTHIA CESPEDES AGUIRRE MD
Student in an Organized Health Care Education/Training Program
7000 SW 62ND AVE STE 401
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 284-7500

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 Chandra Sanwal's NPI number?

The NPI number for Chandra Sanwal is 1235662735. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Chandra Sanwal located?

Chandra Sanwal practices at 7000 SW 62nd Ave Ste 401, South Miami, FL 33143. The listed phone number is (305) 284-7594.

What is Chandra Sanwal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Chandra Sanwal enrolled in Medicare?

Yes. Chandra Sanwal 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 Chandra Sanwal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chandra Sanwal reassigns Medicare benefits to 5 organizations: MD Now Medical Centers Inc (Pembroke Pines, FL), Eastside Hospitalists Inc (Hollywood, FL), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Christus Trinity Clinic Texas (Tyler, TX) and Cogent Healthcare Of Texas, PA (Dallas, TX). 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 Chandra Sanwal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chandra Sanwal accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Chandra Sanwal 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 Chandra Sanwal affiliated with any hospitals?

According to CMS data, Chandra Sanwal is affiliated with Christus Spohn Hospital Corpus Christi, Christus Spohn Hospital Beeville, Christus Spohn Hospital Kleberg and Christus Spohn Hospital Alice.

When was this NPI record last updated?

The NPPES record for Chandra Sanwal was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.