SUDHANSHU GOGIA MD
NPI 1033196373
Internal Medicine - Hepatology in Washington, MO

Q: What is Sudhanshu Gogia's NPI number?

The NPI number for Sudhanshu Gogia is 1033196373. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is Sudhanshu Gogia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Q: When was this NPI record last updated?

The NPPES record for Sudhanshu Gogia was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment

79.87/100

CMS Quality Rating

901 PATIENTS FIRST DR, WASHINGTON, MO 63090(636) 239-7344(636) 239-9436 Get Directions Write a Review

NPPES record last updated: August 1, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Sudhanshu Gogia Md NPPES

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

SUDHANSHU GOGIA MD (NPI 1033196373) is an individual hepatology provider in Washington, Missouri, licensed in Missouri (2008009372) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1033196373

Entity TypeIndividualMale

Primary Taxonomy207RI0008X

Provider Legal NameSUDHANSHU GOGIACredential: MD

Location Address901 PATIENTS FIRST DRWashington, MO 63090-4700

Mailing Address901 Patients First DrWashington, MO 63090-4700 · (636) 239-7344 · Fax (636) 239-9436

Phone(636) 239-7344

Fax(636) 239-9436

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateDecember 28, 2005

Last NPPES UpdateAugust 1, 2012

✔ NPI 1033196373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HepatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0008X

License✔ Licensed in MO · 2008009372

Definition

The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs.

901 PATIENTS FIRST DR, Washington, MO 63090

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Other Identifiers 3

Medicaid34585400WI

Medicare UPINI22994

Medicare ID-Type Unspecified0477 20195WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Sudhanshu Gogia 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 ID7214995976

PECOS Enrollment IDI20151228001729

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 Reassignment

Medicare enrollment records show Sudhanshu Gogia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Digestive Disease Consultants, PLLC

510 mi

Gastroenterology

4370 MEDICAL ARTS DR STE 295
Flower Mound, TX 75028

Reassigned Medicare billing, Texas enrollment
575 clinicians in this Medicare group

NPI 1689650475 (972) 691-3777

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 16

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.

282 services164 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.

278 services110 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 services71 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

102 services22 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

99 services97 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.

85 services76 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

82 services79 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

64 services64 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

60 services60 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

56 services20 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

43 services43 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

12 services12 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

12 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

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.

79.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.55

Promoting Interoperability

100

Improvement Activities

Cost

64.36

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.

MERCY CLINIC OPHTHALMOLOGY LLC

Ophthalmology

901 PATIENTS FIRST DR
WASHINGTON, MO 63090

Franklin County (636) 231-3651

MRS. CYNTHIA GRACE LOHRER PT/CHT

Physical Therapist

901 PATIENTS FIRST DR, SUITE 2600
WASHINGTON, MO 63090

Franklin County (636) 390-1700

AMY LEE SWOBODA FNP-BC

Nurse Practitioner (Family)

901 PATIENTS FIRST DR
WASHINGTON, MO 63090

Franklin County (636) 239-4100

KATARZYNA ANNE KOHLER DO

Family Medicine

901 PATIENTS FIRST DR, SUITE 1200
WASHINGTON, MO 63090

Franklin County (636) 390-1777

VICTORIA L YENZER NP

Nurse Practitioner (Adult Health)

901 PATIENTS FIRST DR
WASHINGTON, MO 63090

Franklin County (636) 239-7500

PATIENTS FIRST HEALTH CARE LLC

Clinic/Center (Urgent Care)

901 PATIENTS FIRST DR
WASHINGTON, MO 63090

Franklin County (636) 390-1777

DR. MARISSA CHRISTINE STOCK MD

Pediatrics

901 PATIENTS FIRST DR
WASHINGTON, MO 63090

Franklin County (636) 231-3690

MERCY CLINIC PODIATRY LLC

Podiatrist

901 PATIENTS FIRST DR
WASHINGTON, MO 63090

Franklin County (636) 231-3730

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 Sudhanshu Gogia's NPI number?

The NPI number for Sudhanshu Gogia is 1033196373. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Sudhanshu Gogia located?

Sudhanshu Gogia practices at 901 Patients First Dr, Washington, MO 63090. The listed phone number is (636) 239-7344.

What is Sudhanshu Gogia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hepatology, with taxonomy code 207RI0008X.

Is Sudhanshu Gogia enrolled in Medicare?

Yes. Sudhanshu Gogia 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 organization bills Medicare for Sudhanshu Gogia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sudhanshu Gogia reassigns Medicare benefits to Texas Digestive Disease Consultants, PLLC (Flower Mound, TX). The 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 Sudhanshu Gogia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sudhanshu Gogia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Sudhanshu Gogia 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 Sudhanshu Gogia affiliated with any hospitals?

According to CMS data, Sudhanshu Gogia is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Sudhanshu Gogia was last updated on August 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.