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: October 18, 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, maintains a secondary practice location in Dallas, and is a graduate of Other (2000).

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
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

Secondary Practice Location 1

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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Rinarani Sanghavi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 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 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.

Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Internal Medicine (Hematology)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390

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.

Which organization bills Medicare for Rinarani Sanghavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rinarani Sanghavi reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). The 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 Rinarani Sanghavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.

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.