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AVNI SANGHI DO
NPI 1366939381
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Chicago, IL

Active since April 16, 2018PECOS Enrolled
225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4455 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2023, Feb 22, 2022, Apr 17, 2018 (3 updates tracked since 2018).

About Avni Sanghi Do NPPES

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

AVNI SANGHI DO (NPI 1366939381) is an individual neurology with special qualifications in child neurology provider in Chicago, Illinois, licensed in West Virginia (4569) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1366939381
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameAVNI SANGHICredential: DO
Location Address225 E CHICAGO AVEChicago, IL 60611-2991
Mailing Address225 E Chicago Ave # 51Chicago, IL 60611-2991
Phone(312) 227-4455
Sole ProprietorNo
Enumeration DateApril 16, 2018
Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1366939381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
Licenses✔ Licensed in WV · 4569✔ Licensed in IL · 036.164595
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 036.164595 (IL)
225 E CHICAGO AVE, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1830 Pennsylvania Avenue, Suite 104Charleston, WV 25302 · Phone (304) 388-1552 · Fax (304) 388-1565
Location 2800 Pennsylvania AvenueCharleston, WV 25302-3351 · Phone (304) 388-5432 · Fax (304) 388-3604
Location 349 Jesse Hill Jr Dr SEAtlanta, GA 30303-3049 · Phone (404) 778-1440
Location 41400 Hospital DriveHurricane, WV 25526 · Phone (304) 757-1700 · Fax (304) 757-1732
Location 5501 Morris StreetCharleston, WV 25301-1326 · Phone (304) 388-5432 · Fax (304) 388-3604
Location 63200 MacCorkle Avenue, SECharleston, WV 25304 · Phone (304) 388-5432 · Fax (304) 388-3604

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avni Sanghi Do 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 Avni Sanghi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Charleston Area Medical Center Inc
366 mi
Multi-Specialty
407 MAIN ST STE 1
Belpre, OH 45714
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1588422547 (740) 315-5709

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 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

BESSEY ELIZABETH JOSE GEEVARGHESE DO
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (630) 933-6631
CHRISTINA SOOJIN KIM M.D.
Pediatrics
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (443) 928-7458
JESSICA LAUREN OFFENBACH APN
Nurse Practitioner (Pediatrics)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
MS. JENNY KO LEE APN
Nurse Practitioner (Neonatal)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (847) 962-6268
ERIN COHEN MD
Pediatrics (Hospice and Palliative Medicine)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
DR. JOSEPH HART COLLINS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-3550
ALEXIS LYN HARMON
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000
SHANNON JULIA CONWAY MD
Student in an Organized Health Care Education/Training Program
225 E CHICAGO AVE
CHICAGO, IL 60611
Cook County (312) 227-4000

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 Avni Sanghi's NPI number?

The NPI number for Avni Sanghi is 1366939381. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Avni Sanghi located?

Avni Sanghi practices at 225 E Chicago Ave, Chicago, IL 60611. The listed phone number is (312) 227-4455.

What is Avni Sanghi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Avni Sanghi enrolled in Medicare?

Yes. Avni Sanghi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Avni Sanghi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avni Sanghi reassigns Medicare benefits to Charleston Area Medical Center Inc (Belpre, OH). 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 Avni Sanghi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Avni Sanghi accept?

Health plans from CareSource list Avni Sanghi 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 Avni Sanghi was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.