Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DHWANI N PANDYA MD
NPI 1326589565
Internal Medicine - Pulmonary Disease in Saginaw, MI

Active since March 20, 2017PECOS Enrolled
1015 S WASHINGTON AVE, SAGINAW, MI 48601(989) 907-7636(989) 907-7584 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2025, Apr 7, 2022, Sep 15, 2020 and 2 more (5 updates tracked since 2017).

About Dhwani N Pandya Md NPPES

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

DHWANI N PANDYA MD (NPI 1326589565) is an individual pulmonary disease provider in Saginaw, Michigan, licensed in Michigan (4301508017) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension St Mary's Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326589565
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDHWANI N PANDYACredential: MD
Location Address1015 S WASHINGTON AVESaginaw, MI 48601-2556
Mailing Address4000 Wellness DrMidland, MI 48670-2000 · (844) 832-1956 · Fax (989) 633-5241
Fax(989) 907-7584
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 20, 2017
Last NPPES UpdateOctober 22, 20265 updates tracked since enumeration
NPPES CertifiedOctober 22, 2026
✔ NPI 1326589565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · 4301508017
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 305524 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301508017 (MI)
1015 S WASHINGTON AVE, Saginaw, MI 48601

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

Dhwani N Pandya Md 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 ID4688918873
PECOS Enrollment IDI20250829001497
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 Dhwani Pandya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
4701 TOWNE CENTRE RD, SUITE 303
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 125 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.

Hospital Affiliations CMS Care Compare 5

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

Ascension St Mary's Hospital

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230077
Location800 S Washington AvenueSaginaw, MI 48601 · Saginaw County
Emergency services

Mymichigan Medical Center West Branch

Acute Care Hospitals · West Branch, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230095
Location2463 South M-30West Branch, MI 48661 · Ogemaw County
Emergency services Birthing friendly

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230100
Location200 HemlockTawas City, MI 48764 · Iosco County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Saint Mary's Standish Community Hospital

Critical Access Hospitals · Standish, MI
OwnershipVoluntary non-profit - Church
CMS Certification Number231305
Location805 W Cedar StStandish, MI 48658 · Arenac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48601 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$68.15 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$35.66 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 20

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

Internal Medicine (Cardiovascular Disease)
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Internal Medicine
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Internal Medicine
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Internal Medicine (Cardiovascular Disease)
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Internal Medicine (Rheumatology)
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Physician Assistant
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Nurse Practitioner (Family)
1015 S WASHINGTON AVE
SAGINAW, MI 48601
Internal Medicine (Pulmonary Disease)
1015 S WASHINGTON AVE, SUITE D
SAGINAW, MI 48601

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 Dhwani Pandya's NPI number?

The NPI number for Dhwani Pandya is 1326589565. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Dhwani Pandya located?

Dhwani Pandya practices at 1015 S Washington Ave, Saginaw, MI 48601. The listed phone number is (989) 907-7636.

What is Dhwani Pandya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Dhwani Pandya enrolled in Medicare?

Yes. Dhwani Pandya 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 Dhwani Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhwani Pandya reassigns Medicare benefits to Mymichigan Medical Center Saginaw (Saginaw, MI). 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 Dhwani Pandya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhwani Pandya accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Dhwani Pandya 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 Dhwani Pandya affiliated with any hospitals?

According to CMS data, Dhwani Pandya is affiliated with Ascension St Mary's Hospital, Mymichigan Medical Center West Branch, Tawas St Joseph Hospital, Mymichigan Medical Center Midland and Saint Mary's Standish Community Hospital.

When was this NPI record last updated?

The NPPES record for Dhwani Pandya was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.