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RINARANI SANGHAVI M.D.
NPI 1245259324
Pediatrics - Pediatric Gastroenterology in Dallas, TX

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 456-8000 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rinarani Sanghavi M.d. NPPES

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

RINARANI SANGHAVI M.D. (NPI 1245259324) is an individual pediatric gastroenterology provider in Dallas, Texas, licensed in Texas (M2468) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Childrens Medical Ctr Of Dallas, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1245259324
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameRINARANI SANGHAVICredential: M.D.
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7701
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 730-5437
Phone(214) 456-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 19, 2006
Last NPPES UpdateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1245259324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in TX · M2468
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
5323 HARRY HINES BLVD, Dallas, TX 75390
Open in Google Maps ↗

Secondary Practice Location 1

Location 11935 Motor St, Childrens Medical Center DallasDallas, TX 75235-7701 · Phone (214) 456-8701

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Rinarani Sanghavi 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 ID8022011766
PECOS Enrollment IDI20060817000518
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.

Hospital Affiliations CMS Care Compare

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

Childrens Medical Ctr Of Dallas

Childrens · Dallas, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453302
Location1935 Medical District DriveDallas, TX 75235 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

MRS. TANYA MARIE PLETIN PA-C
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
DR. JYOTHSNA GATTINENI M.D.
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3438
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. ALECIA CURLENE NERO M.D.
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-4180
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771

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 Rinarani Sanghavi's NPI number?

The NPI number for Rinarani Sanghavi is 1245259324. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Rinarani Sanghavi located?

Rinarani Sanghavi practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 456-8000.

What is Rinarani Sanghavi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Rinarani Sanghavi enrolled in Medicare?

Yes. Rinarani 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 Rinarani Sanghavi accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Rinarani 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 Rinarani Sanghavi affiliated with any hospitals?

According to CMS data, Rinarani Sanghavi is affiliated with Childrens Medical Ctr Of Dallas.

When was this NPI record last updated?

The NPPES record for Rinarani Sanghavi was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.