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DR. MIHIR KISHOR SANGHVI M.D.
NPI 1275827636
Family Medicine in Rancho Cucamonga, CA

Active since June 02, 2011PECOS Enrolled
4.33/100
CMS Quality Rating
5155 SEAGREEN CT, RANCHO CUCAMONGA, CA 91739(951) 323-5598 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mihir Kishor Sanghvi M.d. NPPES

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

DR. MIHIR KISHOR SANGHVI M.D. (NPI 1275827636) is an individual family medicine provider in Rancho Cucamonga, California, licensed in California (A115171) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275827636
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIHIR KISHOR SANGHVICredential: M.D.
Location Address5155 SEAGREEN CTRancho Cucamonga, CA 91739-2637
Mailing Address12223 Highland Ave, Suite 106-804Rancho Cucamonga, CA 91739-2574 · (951) 323-5598 · Fax (909) 292-4546
Phone(951) 323-5598
Sole ProprietorNo
Enumeration DateJune 2, 2011
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1275827636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A115171
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.
5155 SEAGREEN CT, Rancho Cucamonga, CA 91739
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mihir Kishor Sanghvi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mihir Sanghvi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mihir K. Sanghvi, M.D., Inc.
Same address
Geriatric Medicine
5155 SEAGREEN CT
Rancho Cucamonga, CA 91739
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mihir K Sanghvi MD Inc
  • 3 clinicians in this Medicare group
NPI 1033665252 (951) 323-5598

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
2,502 services186 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
326 services97 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
174 services128 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
123 services99 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
50 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91739 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

4.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost14.44

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier17 claims527 services$3.99 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,040 services$0.54 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier12 claims12 services$53.71 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier18 claims18 services$43.34 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier30 claims30 services$20.68 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

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

MIHIR K. SANGHVI, M.D., INC.
Family Medicine (Geriatric Medicine)
5155 SEAGREEN CT
RANCHO CUCAMONGA, CA 91739
San Bernardino County (951) 323-5598

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 Mihir Sanghvi's NPI number?

The NPI number for Mihir Sanghvi is 1275827636. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Mihir Sanghvi located?

Mihir Sanghvi practices at 5155 Seagreen Ct, Rancho Cucamonga, CA 91739. The listed phone number is (951) 323-5598.

What is Mihir Sanghvi's specialty?

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

Is Mihir Sanghvi enrolled in Medicare?

Yes. Mihir Sanghvi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mihir Sanghvi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mihir Sanghvi reassigns Medicare benefits to Mihir K. Sanghvi, M.D., Inc. (Rancho Cucamonga, CA). 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 Mihir Sanghvi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mihir Sanghvi was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.