1. Home
  2. Directory
  3. Massachusetts
  4. Worcester
  5. Pediatrics
  6. NPI Profile

DARSHAK M SANGHAVI M.D.
NPI 1356394472
Pediatrics - Pediatric Cardiology in Worcester, MA

Active since May 18, 2006PECOS Enrolled
97.02/100
CMS Quality Rating
55 LAKE AVE N, DEPARTMENT OF PEDIATRIC CARDIOLOGY, WORCESTER, MA 01655(774) 441-8080(774) 441-8054 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Nov 10, 2020, Apr 18, 2017 (3 updates tracked since 2017).

About Darshak M Sanghavi M.d. NPPES

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

DARSHAK M SANGHAVI M.D. (NPI 1356394472) is an individual pediatric cardiology provider in Worcester, Massachusetts, licensed in Massachusetts (207038) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356394472
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDARSHAK M SANGHAVICredential: M.D.
Location Address55 LAKE AVE N, DEPARTMENT OF PEDIATRIC CARDIOLOGYWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Phone(774) 441-8080
Fax(774) 441-8054
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateMay 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
✔ NPI 1356394472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MA · 207038
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
55 LAKE AVE N, Worcester, MA 01655
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Darshak M Sanghavi 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 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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Darshak Sanghavi's NPI number?

The NPI number for Darshak Sanghavi is 1356394472. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Darshak Sanghavi located?

Darshak Sanghavi practices at 55 Lake Ave N Department Of Pediatric Cardiology, Worcester, MA 01655. The listed phone number is (774) 441-8080.

What is Darshak Sanghavi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Darshak Sanghavi enrolled in Medicare?

Yes. Darshak Sanghavi is registered in the Medicare PECOS enrollment system.

What insurance does Darshak Sanghavi accept?

Health plans from Anthem Blue Cross and Blue Shield list Darshak 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 Darshak Sanghavi was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.