DR. PRAMOD SANGHI MD
NPI 1285845370
Internal Medicine - Cardiovascular Disease in New York, NY

Q: What is Pramod Sanghi's NPI number?

The NPI number for Pramod Sanghi is 1285845370. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Pramod Sanghi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Pramod Sanghi was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 24, 2007PECOS Enrolled

437 W 125TH ST, NEW YORK, NY 10027(646) 707-3930 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2020, Dec 28, 2017 (2 updates tracked since 2017).

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About Dr. Pramod Sanghi Md NPPES

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

DR. PRAMOD SANGHI MD (NPI 1285845370) is an individual cardiovascular disease provider in New York, New York, licensed in New York (264079) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1285845370

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. PRAMOD SANGHICredential: MD

Location Address437 W 125TH STNew York, NY 10027-4201

Mailing Address10706 Liberty AveOzone Park, NY 11417-1813 · (718) 323-2229

Phone(646) 707-3930

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1999

Enumeration DateMay 24, 2007

Last NPPES UpdateJune 19, 20202 updates tracked since enumeration

NPPES CertifiedJune 19, 2020

✔ NPI 1285845370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in NY · 264079✔ Licensed in MI · 430

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 264079 (NY), 4301089866 (MI)

437 W 125TH ST, New York, NY 10027

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Secondary Practice Location 1

Location 1335 Malcolm X BlvdNew York, NY 10027-3703 · Phone (646) 585-1515

Other Identifiers 5

Other1194838383Group Npi

Other38-2546610Group Ein

Medicaid1285845370MI

Other4301089866MI · Medical License

Other0H23923Bcbsm Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pramod Sanghi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547354003

PECOS Enrollment IDI20151005002185

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

Medicare enrollment records show Pramod Sanghi reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

E & A Medical Solutions LLC

1.6 mi

Multi-Specialty

253 E 142ND ST
Bronx, NY 10451

Reassigned Medicare billing, New York enrollment
32 clinicians in this Medicare group

NPI 1730441791 (718) 306-6220

Vail Healthcare Medical PLLC

3.4 mi

Family Medicine

1070 SOUTHERN BLVD
Bronx, NY 10459

Reassigned Medicare billing, New York enrollment
16 clinicians in this Medicare group

NPI 1487051207 (718) 589-4541

Richard L. Mueller,md,pc

3.9 mi

Cardiovascular Disease

401 E 55TH ST
New York, NY 10022

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1851589667 (212) 593-9800

Union Square Medical Imaging And Mammography PC

4.2 mi

Radiology, Mammography

200 PARK AVE S, SUITE 1103
New York, NY 10003

Reassigned Medicare billing, New York enrollment
10 clinicians in this Medicare group

NPI 1912037102 (212) 674-0444

Wellcare Of Bx Medical PC

4.3 mi

Family Medicine

2336 GRAND CONCOURSE
Bronx, NY 10458

Reassigned Medicare billing, New York enrollment
17 clinicians in this Medicare group

NPI 1851848618 (718) 220-0439

Manhattan Internal Medicine Associates, PC

4.8 mi

Gastroenterology

145 E 32ND ST, SUITE 303
New York, NY 10016

Reassigned Medicare billing, New York enrollment
12 clinicians in this Medicare group

NPI 1922140151 (212) 725-5300

Nyc Community Medical Care

5.1 mi

Multi-Specialty

1268 WHITE PLAINS RD
Bronx, NY 10472

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1427486703 (516) 668-8930

14 Street Medical, PC

5.8 mi

Internal Medicine

332 E 14TH ST
New York, NY 10003

Reassigned Medicare billing, New York enrollment
45 clinicians in this Medicare group

NPI 1386091486 (212) 481-3333

Mm Medical Service PC

9.2 mi

Specialist

76-55 AUSTIN STREET
Forest Hills, NY 11375

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1104281286 (718) 897-2228

Dr. Salibs Medical Practice PC

9.3 mi

Neuromusculoskeletal Medicine, Sports Medicine

11622 QUEENS BLVD
Forest Hills, NY 11375

Reassigned Medicare billing, New York enrollment
19 clinicians in this Medicare group

NPI 1518479898 (718) 793-4000

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 15

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.

165 services121 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

141 services115 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

125 services101 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

99 services71 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

85 services66 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

82 services63 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

66 services47 patients

Injection of drug or substance into vein 96374

This procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.

66 services47 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

58 services38 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

51 services48 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.

44 services32 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

31 services31 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

30 services30 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

30 services15 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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330214

Location550 First AvenueNew York, NY 10016 · New York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10027 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

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.

Reported Quality Measures

Controlling High Blood Pressure

73%22 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

96%80 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

32%75 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

37%71 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 55 patients

0%55 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

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

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