DR. MITALI SANGHANI O.D.
NPI 1659787489
Optometrist in Northport, NY

Active since July 01, 2014PECOS EnrolledAccepts Medicare Assignment
90.91/100
CMS Quality Rating
79 MIDDLEVILLE RD, OPTOMETRY SERVICE 123, NORTHPORT, NY 11768(631) 261-4400 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mitali Sanghani O.d. NPPES

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

DR. MITALI SANGHANI O.D. (NPI 1659787489) is an individual optometrist in Northport, New York, licensed in New York (TUV008165-1) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2014).

NPPES Registry Identity

NPI1659787489
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MITALI SANGHANICredential: O.D.
Location Address79 MIDDLEVILLE RD, OPTOMETRY SERVICE 123Northport, NY 11768-2200
Mailing Address79 Middleville Rd, Optometry Service 123Northport, NY 11768-2200
Sole ProprietorYes
Medical School CMSState University Of New York - State College OptometryGraduated 2014
Enumeration DateJuly 1, 2014
✔ NPI 1659787489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV008165-1
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
79 MIDDLEVILLE RD, Northport, NY 11768

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

Dr. Mitali Sanghani O.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 ID1456665132
PECOS Enrollment IDI20230112000521
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

2

Medicare enrollment records show Mitali Sanghani reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
360 MONTAUK HWY
West Islip, NY 11795
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
Optometrist
935 ROUTE 34, SUITE 1A
Matawan, NJ 07747
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 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.

Areas of Expertise CMS Part B claims 7

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
195 services160 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
95 services95 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
24 services24 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
21 services21 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
20 services19 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11768 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

90.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.43
Improvement Activities40
Cost70.77

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.

Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Social Worker (Clinical)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Anesthesiology
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
General Acute Care Hospital
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Social Worker
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Nurse Practitioner (Psychiatric/Mental Health)
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Pharmacist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768
Occupational Therapist
79 MIDDLEVILLE RD
NORTHPORT, NY 11768

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 Mitali Sanghani's NPI number?

The NPI number for Mitali Sanghani is 1659787489. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Where is Mitali Sanghani located?

Mitali Sanghani practices at 79 Middleville Rd Optometry Service 123, Northport, NY 11768. The listed phone number is (631) 261-4400.

What is Mitali Sanghani's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mitali Sanghani enrolled in Medicare?

Yes. Mitali Sanghani 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 Mitali Sanghani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitali Sanghani reassigns Medicare benefits to 2 organizations: Medical Surgical Eye Care Services PC (West Islip, NY) and Steve H. Silberberg, O.D., LLC (Matawan, NJ). 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 Mitali Sanghani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitali Sanghani accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Mitali Sanghani 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 Mitali Sanghani was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.