SUMIT SEHGAL M.D.
NPI 1083956502
Internal Medicine - Cardiovascular Disease in Fort Dodge, IA

Q: What is Sumit Sehgal's NPI number?

The NPI number for Sumit Sehgal is 1083956502. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Q: What is Sumit Sehgal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Sumit Sehgal was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 22, 2013PECOS EnrolledAccepts Medicare Assignment

800 KENYON RD, FORT DODGE, IA 50501(515) 574-6840(515) 576-7726 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sumit Sehgal M.d. NPPES

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

SUMIT SEHGAL M.D. (NPI 1083956502) is an individual cardiovascular disease provider in Fort Dodge, Iowa, licensed in Iowa (MD-45758) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083956502

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameSUMIT SEHGALCredential: M.D.

Location Address800 KENYON RDFort Dodge, IA 50501-5776

Mailing AddressPo Box 9170Des Moines, IA 50306-9170 · (515) 633-3600 · Fax (515) 633-3838

Phone(515) 574-6840

Fax(515) 576-7726

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 22, 2013

Last NPPES UpdateNovember 5, 2019

✔ NPI 1083956502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IA · MD-45758

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

800 KENYON RD, Fort Dodge, IA 50501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Sumit Sehgal 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 ID3274755152

PECOS Enrollment IDI20190711002481, I20240425003677

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

Medicare enrollment records show Sumit Sehgal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Catholic Health Initiatives-Iowa Corp

65 mi

Clinical Cardiac Electrophysiology

5880 UNIVERSITY AVE
West Des Moines, IA 50266

Reassigned Medicare billing, Iowa enrollment
133 clinicians in this Medicare group

NPI 1629301684 (515) 633-3600

County Of Santa Clara

1,498 mi

Federally Qualified Health Center (FQHC)

7475 CAMINO ARROYO
Gilroy, CA 95020

Reassigned Medicare billing, California enrollment
Also billed through NPI 1629301346 (California), NPI 1043354020 (California)
2,460 clinicians in this Medicare group

NPI 1922093533 (408) 885-5000

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 23

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.

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.

276 services270 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.

162 services157 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.

148 services37 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

134 services128 patients

Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent G0250

This service involves your doctor evaluating your home INR (a blood clotting test) results. It's for patients with a mechanical heart valve, chronic atrial fibrillation, or venous thromboembolism who meet specific criteria. It helps manage your treatment, but tests aren't conducted frequently.

133 services59 patients

Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the G0249

This service provides you with the necessary materials and equipment for home INR monitoring. It's for patients with mechanical heart valves, chronic atrial fibrillation, or venous thromboembolism. The materials are for those who meet Medicare's coverage criteria. This enables you to monitor your health at home.

129 services57 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

92 services92 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

89 services45 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.

70 services36 patients

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.

64 services63 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

51 services51 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.

46 services44 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

45 services45 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.

25 services25 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

20 services20 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.

18 services17 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

16 services16 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.

15 services15 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

14 services14 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

13 services13 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

12 services12 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

12 services12 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50501 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MEGAN RENEE EASTMAN ARNP

Nurse Practitioner

800 KENYON RD
FORT DODGE, IA 50501

Webster County (515) 574-6840

TRIMARK PHYSICIANS GROUP

Clinical Medical Laboratory

800 KENYON RD, SUITE P
FORT DODGE, IA 50501

Webster County (515) 574-6079

BOBBI CHRISTINE CUMMINS ARNP

Nurse Practitioner (Family)

800 KENYON RD
FORT DODGE, IA 50501

Webster County (515) 574-6800

EMILY ROSE PURSLEY MD

Hospitalist

800 KENYON RD
FORT DODGE, IA 50501

Webster County (515) 574-6658

JAMES C MEYER DO

Internal Medicine (Pulmonary Disease)

800 KENYON RD
FORT DODGE, IA 50501

Webster County (515) 574-6845

TRIMARK PHYSICIANS GROUP

Family Medicine

800 KENYON RD, SUITE S
FORT DODGE, IA 50501

Webster County (515) 573-4141

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Clinical Medical Laboratory

800 KENYON RD, SUITE P
FORT DODGE, IA 50501

Webster County (515) 574-6079

MRS. JESSICA LYNN BAILEY ARNP

Nurse Practitioner

800 KENYON RD
FORT DODGE, IA 50501

Webster County (515) 574-6820

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 Sumit Sehgal's NPI number?

The NPI number for Sumit Sehgal is 1083956502. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Sumit Sehgal located?

Sumit Sehgal practices at 800 Kenyon Rd, Fort Dodge, IA 50501. The listed phone number is (515) 574-6840.

What is Sumit Sehgal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sumit Sehgal enrolled in Medicare?

Yes. Sumit 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.

Which organizations bill Medicare for Sumit Sehgal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumit Sehgal reassigns Medicare benefits to 2 organizations: Catholic Health Initiatives-Iowa Corp (West Des Moines, IA) and County Of Santa Clara (Gilroy, CA). 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 Sumit Sehgal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumit Sehgal accept?

Health plans from Oscar Insurance Company list Sumit 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.

When was this NPI record last updated?

The NPPES record for Sumit Sehgal was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.