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DR. RAJESH SEHGAL MD
NPI 1003019571
Internal Medicine - Hematology in Winter Park, FL

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
2100 GLENWOOD DR, WINTER PARK, FL 32792(407) 821-3566 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Rajesh Sehgal Md NPPES

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

DR. RAJESH SEHGAL MD (NPI 1003019571) is an individual hematology provider in Winter Park, Florida, licensed in Florida (ME155083) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003019571
Entity TypeIndividualMale
Primary Taxonomy207RH0000X
Provider Legal NameDR. RAJESH SEHGALCredential: MD
Location Address2100 GLENWOOD DRWinter Park, FL 32792-3308
Mailing Address2100 Glenwood DrWinter Park, FL 32792-3308 · (407) 821-3566
Phone(407) 821-3566
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJune 11, 2007
Last NPPES UpdateJanuary 27, 2023
NPPES CertifiedJanuary 27, 2023
✔ NPI 1003019571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0000X
License✔ Licensed in FL · ME155083
Definition
An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 23530 (WV), MD432738 (PA)
2100 GLENWOOD DR, Winter Park, FL 32792
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1400 Oxford Dr, Suite 102Monroeville, PA 15146 · Phone (412) 856-7110 · Fax (412) 856-0565
Location 22501 N Orange Ave Ste 689Orlando, FL 32804-4648 · Phone (407) 303-2024

Other Identifiers 4

Medicaid3810015319WV
Medicaid1028239130001PA
OtherP01277311PA · Railroad Medicare
Other518808PA · Highmark Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

Dr. Rajesh Sehgal Md 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 ID8426109760
PECOS Enrollment IDI20220906001787
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 9

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.
754 services272 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
364 services182 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
299 services155 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
222 services137 patients
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.
209 services108 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
189 services138 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32792 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMARDEEP KAUR KALSI M.D.
Internal Medicine (Medical Oncology)
2100 GLENWOOD DR
WINTER PARK, FL 32792
Orange County (407) 821-3566
FLORIDA HOSPITAL
General Acute Care Hospital
2100 GLENWOOD DR
WINTER PARK, FL 32792
Orange County (407) 303-7132
JOLLY GEORGE APRN
Nurse Practitioner (Family)
2100 GLENWOOD DR
WINTER PARK, FL 32792
Orange County (407) 821-3567
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Internal Medicine (Hematology & Oncology)
2100 GLENWOOD DR, SUITE 102
WINTER PARK, FL 32792
Orange County (407) 898-5452
RACHEL PERRICONE ARNP
Nurse Practitioner
2100 GLENWOOD DR
WINTER PARK, FL 32792
Orange County (407) 646-7777
FLORIDA ONCOLOGY NETWORK PA
Radiology (Radiation Oncology)
2100 GLENWOOD DR
WINTER PARK, FL 32792
Orange County (407) 646-7777
BRANDI LOVERICH LIGON APRN
Nurse Practitioner (Gerontology)
2100 GLENWOOD DR
WINTER PARK, FL 32792
Orange County (407) 821-3566
SHELBY DRAULIS ARNP
Nurse Practitioner (Primary Care)
2100 GLENWOOD DR
WINTER PARK, FL 32792
Orange County (407) 646-7777

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 Rajesh Sehgal's NPI number?

The NPI number for Rajesh Sehgal is 1003019571. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Rajesh Sehgal located?

Rajesh Sehgal practices at 2100 Glenwood Dr, Winter Park, FL 32792. The listed phone number is (407) 821-3566.

What is Rajesh Sehgal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Is Rajesh Sehgal enrolled in Medicare?

Yes. Rajesh Sehgal 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 Rajesh Sehgal accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and UnitedHealthcare and 1 other insurer list Rajesh Sehgal 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 Rajesh Sehgal affiliated with any hospitals?

According to CMS data, Rajesh Sehgal is affiliated with Adventhealth Orlando, Adventhealth Deland, Adventhealth Waterman and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Rajesh Sehgal was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.