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DR. PRABHJOT SAGGU M.D.
NPI 1063790590
Internal Medicine in Bladensburg, MD

Active since August 02, 2011PECOS EnrolledAccepts Medicare Assignment
4257 58TH AVE, APARTMENT 7, BLADENSBURG, MD 20710(301) 000-0000 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Prabhjot Saggu M.d. NPPES

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

DR. PRABHJOT SAGGU M.D. (NPI 1063790590) is an individual internal medicine provider in Bladensburg, Maryland, licensed in Maryland (D0078002) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Ctr At Chestertown, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1063790590
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRABHJOT SAGGUCredential: M.D.
Location Address4257 58TH AVE, APARTMENT 7Bladensburg, MD 20710-1926
Mailing Address4257, 58th Avenue, Apartment 7Bladensburg, MD 20710-1926
Phone(301) 000-0000
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 2, 2011
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1063790590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0078002
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License D78002 (MD)
4257 58TH AVE, Bladensburg, MD 20710
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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. Prabhjot Saggu 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 ID3678793239
PECOS Enrollment IDI20141002000049
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

3

Medicare enrollment records show Prabhjot Saggu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Luminis Health Medical Group, LLC
2.8 mi
Clinic/Center
2970 BELCREST CENTER DR
Hyattsville, MD 20782
  • Reassigned Medicare billing, Maryland enrollment
  • 794 clinicians in this Medicare group
NPI 1811494990 (443) 481-1000
Emergency Medicine Associates P.A., P.C.
18 mi
Emergency Medicine
3300 GALLOWS RD
Falls Church, VA 22042
  • Reassigned Medicare billing, Maryland enrollment
  • 729 clinicians in this Medicare group
NPI 1134117393 (703) 776-4001
Shore-Bayy Hospitalists Associates
46 mi
Hospitalist
219 S WASHINGTON ST
Easton, MD 21601
  • Reassigned Medicare billing, Maryland enrollment
  • 63 clinicians in this Medicare group
NPI 1548618671 (410) 882-1000

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 5

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.

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.
335 services328 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.
334 services166 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
98 services98 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.
91 services58 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210030
Location100 Brown StreetChestertown, MD 21620 · Kent County
Emergency services

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20710 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$71.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JACOB N MBA
Case Manager/Care Coordinator
4257 58TH AVE
BLADENSBURG, MD 20710
Prince George's County (405) 215-0521

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 Prabhjot Saggu's NPI number?

The NPI number for Prabhjot Saggu is 1063790590. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Prabhjot Saggu located?

Prabhjot Saggu practices at 4257 58th Ave Apartment 7, Bladensburg, MD 20710. The listed phone number is (301) 000-0000.

What is Prabhjot Saggu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prabhjot Saggu enrolled in Medicare?

Yes. Prabhjot Saggu 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 Prabhjot Saggu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prabhjot Saggu reassigns Medicare benefits to 3 organizations: Luminis Health Medical Group, LLC (Hyattsville, MD), Emergency Medicine Associates P.A., P.C. (Falls Church, VA) and Shore-Bayy Hospitalists Associates (Easton, MD). 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 Prabhjot Saggu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Prabhjot Saggu affiliated with any hospitals?

According to CMS data, Prabhjot Saggu is affiliated with University Of MD Shore Medical Ctr At Chestertown and University Of MD Shore Medical Center At Easton.

When was this NPI record last updated?

The NPPES record for Prabhjot Saggu was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.