DR. ALPA SANGHAVI M.D.
NPI 1376633628
Internal Medicine in San Mateo, CA

Q: What is Alpa Sanghavi's NPI number?

The NPI number for Alpa Sanghavi is 1376633628. It was assigned to this individual provider in the NPPES registry on October 14, 2006.

Q: What is Alpa Sanghavi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Alpa Sanghavi was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 October 14, 2006PECOS EnrolledAccepts Medicare Assignment

222 W 39TH AVE, SAN MATEO, CA 94403(650) 573-2120 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Alpa Sanghavi M.d. NPPES

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

DR. ALPA SANGHAVI M.D. (NPI 1376633628) is an individual internal medicine provider in San Mateo, California, licensed in California (A65720) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1376633628

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ALPA SANGHAVICredential: M.D.

Location Address222 W 39TH AVESan Mateo, CA 94403-4364

Mailing Address222 W 39th AveSan Mateo, CA 94403-4364 · (650) 573-2120

Phone(650) 573-2120

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateOctober 14, 2006

Last NPPES UpdateNovember 15, 2007

✔ NPI 1376633628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A65720

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

222 W 39TH AVE, San Mateo, CA 94403

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Other Identifiers 5

Medicare ID-Type UnspecifiedZZZ93227ZCA

Medicaid00A657200CA

MedicaidGR0028880CA

Medicare UPINH11069CA

Medicare ID-Type Unspecified00A657200CA

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

Dr. Alpa Sanghavi M.d. 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 ID7113089657

PECOS Enrollment IDI20081217000677

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

County Of San Mateo

Same address

Multi-Specialty

222 W 39TH AVE
San Mateo, CA 94403

Reassigned Medicare billing, California enrollment
Also billed through NPI 1831268580 (California), NPI 1114005105 (California)
19 clinicians in this Medicare group

NPI 1780753434 (650) 573-2222

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

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

16 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94403 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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