SANKET BORGAONKAR M.D.
NPI 1720408032
Internal Medicine - Interventional Cardiology in Houston, TX

Active since April 25, 2014PECOS EnrolledAccepts Medicare Assignment
69.09/100
CMS Quality Rating
5115 FANNIN ST STE 801, HOUSTON, TX 77004(713) 790-0841(713) 790-9663 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2023, May 11, 2022, Sep 30, 2021 and 1 more (4 updates tracked since 2021).

About Sanket Borgaonkar M.d. NPPES

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

SANKET BORGAONKAR M.D. (NPI 1720408032) is an individual interventional cardiology provider in Houston, Texas, licensed in Texas (R1503) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720408032
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSANKET BORGAONKARCredential: M.D.
Location Address5115 FANNIN ST STE 801Houston, TX 77004-5870
Mailing Address5115 Fannin St Ste 801Houston, TX 77004-5870 · (713) 790-0841 · Fax (713) 790-9663
Fax(713) 790-9663
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 25, 2014
Last NPPES UpdateMay 22, 20244 updates tracked since enumeration
NPPES CertifiedMay 22, 2024
NPI 1720408032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · R1503
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License BP10049442 (TX), R1503 (TX)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License R1503 (TX)
5115 FANNIN ST STE 801, Houston, TX 77004

Secondary Practice Locations 2

Location 116605 Southwest Fwy Ste 360Sugar Land, TX 77479-3482 · Phone (713) 790-0841 · Fax (713) 790-9663
Location 2600 S Austin RdEagle Lake, TX 77434-3202 · Phone (713) 790-0841 · Fax (713) 790-9663

Other Identifiers 2

Medicaid428413502TX
Medicaid1720408032TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sanket Borgaonkar 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 ID2769883925
PECOS Enrollment IDI20210624002754
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.

Areas of Expertise CMS Part B claims 35

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
751 services286 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
586 services166 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
544 services134 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
248 services46 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
231 services41 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
162 services153 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Rice Medical Center

Critical Access Hospitals · Eagle Lake, TX
OwnershipProprietary
CMS Certification Number451312
Location600 South Austin RoadEagle Lake, TX 77434 · Colorado County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77004 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

69.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.69
Promoting Interoperability87
Improvement Activities40
Cost44.1

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.

Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Nurse Practitioner (Acute Care)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Interventional Cardiology)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Clinical Cardiac Electrophysiology)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004
Internal Medicine (Cardiovascular Disease)
5115 FANNIN ST STE 801
HOUSTON, TX 77004

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 Sanket Borgaonkar's NPI number?

The NPI number for Sanket Borgaonkar is 1720408032. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Sanket Borgaonkar located?

Sanket Borgaonkar practices at 5115 Fannin St Ste 801, Houston, TX 77004. The listed phone number is (713) 790-0841.

What is Sanket Borgaonkar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sanket Borgaonkar enrolled in Medicare?

Yes. Sanket Borgaonkar 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.

What insurance does Sanket Borgaonkar accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Sanket Borgaonkar 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 Sanket Borgaonkar affiliated with any hospitals?

According to CMS data, Sanket Borgaonkar is affiliated with Memorial Hermann - Texas Medical Center, Houston Methodist Hospital and Rice Medical Center.

When was this NPI record last updated?

The NPPES record for Sanket Borgaonkar was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.