2026 NPPES data Internal Medicine Physician NPI 1609946201 M.D.
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Pauravi Sanghadia, M.D.

Internal Medicine Physician in Yuma, Arizona. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
7K
Medicare Part D claims · 312 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
79%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Pauravi Sanghadia, M.D. reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 7,172 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
7K
Part D claims, 2023
79%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Pauravi Sanghadia, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Pauravi Sanghadia, M.D. sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Pauravi Sanghadia, M.D. writes more Part D claims than 87% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 80Pauravi Sanghadia, M.D.-Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Pauravi Sanghadia, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Pauravi Sanghadia, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 5 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Pauravi Sanghadia, M.D.?

Below national average

NPI registry status

Active

Issued 11/09/2006

NPI 1609946201

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

7,172 164% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

0/100 83.1 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Arizona

How Internal Medicine Physician compares to other specialties among Arizona providers

Arizona providers

Largest specialties in Arizona (% of in-state providers)

Pharmacist - 5.6%Pharmacist5.6%Behavior Technician - 5.6%Behavior Technician5.6%Family Nurse Practitioner - 4.3%Family Nurse Practitioner4.3%Physical Therapist - 4.2%Physical Therapist4.2%Speech-Language Pathologist - 3.5%Speech-Language Pathologist3.5%Student in an Organized Health Care Education/Training Program - 3.5%Student in an Organized Health Care Education/Training Program3.5%Internal Medicine Physician - 2.7%Internal Medicine Physician2.7%
Largest specialties in Arizona (% of in-state providers)

Medicare quality performance, MIPS

Pauravi Sanghadia, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) - 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Internal Medicine Physician) - 0/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Pauravi Sanghadia, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 2400 S AVENUE A, Yuma, AZ, 85364, with a listed phone of (928) 336-7321. NPI 1609946201 was issued on 11/09/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Sanghadia most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 7,172 prescription claims written by this provider, covering 312 Medicare beneficiaries and totaling roughly $492K in drug spend, split 20% brand-name and 79% generic by claim count, with an opioid prescribing rate of 1.1%. These figures capture only Medicare Part D, commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2400 S AVENUE A
Yuma, AZ 85364

Provider Details

NPI 1609946201
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 11/09/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where Pauravi Sanghadia, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

According to CMS billing records, Pauravi Sanghadia, M.D. is affiliated with 5 Medicare-billing facilities across 3 states.

Apogee Medical Group North Carolina
Jacksonville, NC
Hilton Head Regional Physician Group LLC
Bluffton, SC
Legacy Care Aco LLC
Mechanicsville, VA
Legacy Care LLC
Virginia Beach, VA
Riverside Physician Services Inc
Onancock, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

Pauravi Sanghadia, M.D. - brand share 20.0%
Internal Medicine Physician average

20% brand-name claims vs 79% generic, on 7,172 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

7,172
Total Claims
$492K
Total Drug Cost
312
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,194
Total Day Supply
160,772
Brand vs Generic
20% brand / 79% generic
Brand Drug Cost
$315K
Generic Drug Cost
$174K
Opioid Claims
78 (1.1% rate)
Antibiotic Claims
139

Patient Demographics

Average Patient Age
81.0 years
Avg HCC Risk Score
2.68
Gender Split
71% female / 29% male
Age Distribution
<65: 13, 65-74: 63, 75-84: 123, 85+: 113

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Pauravi Sanghadia, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
430
Eliquis
Apixaban
340
Amlodipine Besylate
227
Levothyroxine Sodium
216
Furosemide
186
Potassium Chloride
174
Carvedilol
157
Donepezil Hcl
150
Trazodone Hcl
146
Metoprolol Tartrate
139

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Internal Medicine Physician Overview

How Pauravi Sanghadia, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Pauravi Sanghadia, M.D.'s 7,172 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Arizona

Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Sanghadia.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Arizona medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Pauravi Sanghadia, M.D.'s specialty?
Pauravi Sanghadia, M.D. specializes in Internal Medicine Physician and practices in Yuma, Arizona. Credentials: M.D..
How much does Pauravi Sanghadia, M.D. prescribe under Medicare Part D?
In 2023, Pauravi Sanghadia, M.D. wrote 7,172 Medicare Part D claims totaling $492K in drug costs for 312 beneficiaries.
What is Pauravi Sanghadia, M.D.'s Medicare quality score?
Pauravi Sanghadia, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Pauravi Sanghadia, M.D. located?
Pauravi Sanghadia, M.D. is located at 2400 S AVENUE A, Yuma, AZ, 85364. Phone: (928) 336-7321.
What is Pauravi Sanghadia, M.D.'s NPI number?
Pauravi Sanghadia, M.D.'s National Provider Identifier (NPI) is 1609946201, issued on 11/09/2006.
Does Pauravi Sanghadia, M.D. prescribe more brand-name or generic drugs?
Pauravi Sanghadia, M.D.'s prescribing is 20% brand-name and 79% generic drugs by claim count, with $315K in brand drug costs.
Does Pauravi Sanghadia, M.D. prescribe opioids?
Yes, Pauravi Sanghadia, M.D. had 78 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Pauravi Sanghadia, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Pauravi Sanghadia, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Pauravi Sanghadia, M.D. accept Medicare?
Pauravi Sanghadia, M.D. appears in CMS Medicare data with 7,172 Part D claims and 312 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Pauravi Sanghadia, M.D.'s credentials?
Pauravi Sanghadia, M.D.'s NPI is 1609946201 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.