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PAURAVI HARKISANDAS SANGHADIA M.D.
NPI 1609946201
Internal Medicine in Yuma, AZ

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
2400 S AVENUE A, YUMA, AZ 85364(928) 336-7321 Get Directions Write a Review

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

Record update history: Aug 25, 2026, May 21, 2025, Sep 12, 2024 and 1 more (4 updates tracked since 2018).

About Pauravi Harkisandas Sanghadia M.d. NPPES

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

PAURAVI HARKISANDAS SANGHADIA M.D. (NPI 1609946201) is an individual internal medicine provider in Yuma, Arizona, licensed in Arizona (36805) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Betsy Johnson Regional Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1609946201
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePAURAVI HARKISANDAS SANGHADIACredential: M.D.
Location Address2400 S AVENUE AYuma, AZ 85364-7170
Mailing AddressPo Box 40908Fayetteville, NC 28309-0908 · (910) 615-6949 · Fax (910) 615-9761
Phone(928) 336-7321
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 25, 20264 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1609946201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in AZ · 36805✔ Licensed in NC · 2024-02069✔ Licensed in VA · 0101248636
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.
Also ListedHospitalistTaxonomy 208M00000X · License 2024-02069 (NC)
2400 S AVENUE A, Yuma, AZ 85364
Open in Google Maps ↗

Other Names 1

Former Name (1)Pauravi Niraj Sanghadia-bhatt M.d.

Secondary Practice Locations 8

Location 1215 Brightwater DrLillington, NC 27546-5156 · Phone (910) 892-1000 · Fax (910) 984-3708
Location 21250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 828-3144 · Fax (804) 628-7104
Location 3800 Tilghman DrDunn, NC 28334-5510 · Phone (910) 892-7161
Location 47101 Jahnke RdRichmond, VA 23225-4017 · Phone (804) 514-6958
Location 51755 N Mecklenburg AveSouth Hill, VA 23970-4080 · Phone (434) 447-3151 · Fax (434) 584-5023
Location 620480 Market StOnancock, VA 23417-4309 · Phone (757) 302-2342
Location 73806 Mechanicsville Tpke, 3806 Mechanicsville TurnpikeRichmond, VA 23223-1114 · Phone (804) 228-1143 · Fax (804) 228-7382
Location 8618 Hospital RdTappahannock, VA 22560-5000 · Phone (804) 380-0744 · Fax (804) 443-6051

Other Identifiers 5

Other1043324932Clinic Npi
Other1063433720Clinic Npi
Medicaid199969AZ
Other1245344316Clinic Npi
Other1962507376Clinic Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, First Choice Next.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

Pauravi Harkisandas Sanghadia 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 ID446357214
PECOS Enrollment IDI20110804000511, I20241014001074
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

11

Medicare enrollment records show Pauravi Sanghadia reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Medical Group North Carolina
171 mi
Hospitalist
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, North Carolina enrollment
  • 278 clinicians in this Medicare group
NPI 1043518228 (602) 778-3600
Southeastern Intensivist Services PC
1,413 mi
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 clinicians in this Medicare group
NPI 1912942665 (870) 733-3020
Novant Health Medical Group, LLC
1,844 mi
Surgery
80 PEACHTREE RD STE 210
Asheville, NC 28803
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1578342861 (828) 378-5600
Hilton Head Regional Physician Group LLC
1,944 mi
Orthopaedic Surgery
408 JACKSON AVE E STE E
Hampton, SC 29924
  • Reassigned Medicare billing, South Carolina enrollment
  • 157 clinicians in this Medicare group
NPI 1891678876 (843) 682-7480
Cumberland County Hospital System Inc
2,033 mi
Rural Health
405 S MAIN ST
Raeford, NC 28376
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
NPI 1447255328 (910) 615-5800
Dada Bhagwan Inc
2,112 mi
Internal Medicine
5028 HICKORY MEADOWS PL
Glen Allen, VA 23059
  • Reassigned Medicare billing, Virginia enrollment
NPI 1114564721 (804) 514-6958
Vituity-Virginia Hospitalists PC
2,116 mi
Hospitalist
5801 BREMO RD
Richmond, VA 23226
  • Reassigned Medicare billing, Virginia enrollment
  • 172 clinicians in this Medicare group
NPI 1518611011 (804) 285-2011
Mcv Associated Physicians
2,121 mi
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707
Vidant Medical Group LLC
2,123 mi
Ambulatory Surgical
701 DOCTORS DR STE N
Kinston, NC 28501
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1376049619 (252) 559-2200
Legacy Care Aco LLC
2,199 mi
Family Medicine
780 LYNNHAVEN PKWY STE 400
Virginia Bch, VA 23452
  • Reassigned Medicare billing, Virginia enrollment
  • 69 clinicians in this Medicare group
NPI 1538844857 (757) 536-2246

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 12

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
324 services126 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
242 services98 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
58 services51 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
54 services54 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
42 services42 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
30 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Betsy Johnson Regional Hospital

Acute Care Hospitals · Dunn, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340071
Location800 Tilghman DrDunn, NC 28334 · Harnett County
Emergency services

Riverside Shore Memorial Hospital

Acute Care Hospitals · Onancock, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490037
Location20480 Market StreetOnancock, VA 23417 · Accomack County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85364 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%249 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier33 claims33 services$20.72 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier40 claims40 services$8.29 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.47 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.61 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims706 services$7.14 avg. paid by Medicare
Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203
DME-Medical/Surgical Supplies · category DA023N
1 supplier21 claims718 services$3.28 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.

BRIANNE ALLEN MA - CCC/SLP
Speech-Language Pathologist
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 336-1631
DR. INA KIM MD
Emergency Medicine
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (702) 853-3561
CANDRA AIYANA LAND REGISTERED DIETITIAN
Dietitian, Registered
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 336-2000
SANTWANA VINAYAK SOVANI MD
Anesthesiology
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 344-2000
ASHVIN K SHAH M.D.
Internal Medicine (Sleep Medicine)
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 336-3213
ASHISH SHARMA M.D.
Hospitalist
2400 S AVENUE A, YUMA REGIONAL MEDICAL CENTER
YUMA, AZ 85364
Yuma County (928) 336-3213
KORI DELLINGER AGACNP
Nurse Practitioner (Acute Care)
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (505) 328-4579
DR. ROBERT W. GOODWILLIE PHARMD
Pharmacist (Pharmacotherapy)
2400 S AVENUE A
YUMA, AZ 85364
Yuma County (928) 336-7037

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 Pauravi Sanghadia's NPI number?

The NPI number for Pauravi Sanghadia is 1609946201. It was assigned to this individual provider in the NPPES registry on November 9, 2006. The provider is also known as Pauravi Niraj Sanghadia-Bhatt M.D..

Where is Pauravi Sanghadia located?

Pauravi Sanghadia practices at 2400 S Avenue A, Yuma, AZ 85364. The listed phone number is (928) 336-7321.

What is Pauravi Sanghadia's specialty?

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

Is Pauravi Sanghadia enrolled in Medicare?

Yes. Pauravi Sanghadia 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 organizations bill Medicare for Pauravi Sanghadia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pauravi Sanghadia reassigns Medicare benefits to 11 organizations: Apogee Medical Group North Carolina (Scottsdale, AZ), Southeastern Intensivist Services PC (West Memphis, AR), Novant Health Medical Group, LLC (Asheville, NC), Hilton Head Regional Physician Group LLC (Hampton, SC), Cumberland County Hospital System Inc (Raeford, NC) and 6 more organizations, listed in the Medicare section above. Each 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 Pauravi Sanghadia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pauravi Sanghadia accept?

Health plans from Cigna Healthcare and First Choice Next list Pauravi Sanghadia 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 Pauravi Sanghadia affiliated with any hospitals?

According to CMS data, Pauravi Sanghadia is affiliated with Betsy Johnson Regional Hospital and Riverside Shore Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Pauravi Sanghadia was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.