SANTOSH SIGDEL MD
NPI 1093155012
Hospitalist in Kernersville, NC

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment
1750 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284(336) 564-4866(336) 277-6815 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2023, Nov 1, 2016 (2 updates tracked since 2016).

About Santosh Sigdel Md NPPES

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

SANTOSH SIGDEL MD (NPI 1093155012) is an individual hospitalist provider in Kernersville, North Carolina, licensed in North Carolina (2023-02497) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1093155012
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSANTOSH SIGDELCredential: MD
Location Address1750 KERNERSVILLE MEDICAL PKWYKernersville, NC 27284-7146
Mailing Address1325 S Cliff AveSioux Falls, SD 57105-1007 · (605) 322-7905
Fax(336) 277-6815
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 5, 2013
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1093155012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 2023-02497
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 9977 (SD)
1750 KERNERSVILLE MEDICAL PKWY, Kernersville, NC 27284

Secondary Practice Location 1

Location 11325 S Cliff AveSioux Falls, SD 57105-1007 · Phone (605) 322-7905

Accepted 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

Santosh Sigdel 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 ID9830488964
PECOS Enrollment IDI20231016002481
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 Santosh Sigdel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1750 KERNERSVILLE MEDICAL PKWY
Kernersville, NC 27284
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
Family Medicine
102 POMONA DR
Greensboro, NC 27407
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
Rural Health
1100 S 10TH AVE, STE 100
Rock Rapids, IA 51246
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group

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 4

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.

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.
282 services123 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.
115 services74 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.
106 services100 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.
38 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27284 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 2

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 supplier17 claims17 services$86.09 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$32.81 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 20

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

Hospitalist
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Hospitalist
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Pediatrics
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Pharmacist
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Physician Assistant
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Hospitalist
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Internal Medicine (Pulmonary Disease)
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284
Physician Assistant (Medical)
1750 KERNERSVILLE MEDICAL PKWY
KERNERSVILLE, NC 27284

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 Santosh Sigdel's NPI number?

The NPI number for Santosh Sigdel is 1093155012. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Santosh Sigdel located?

Santosh Sigdel practices at 1750 Kernersville Medical Pkwy, Kernersville, NC 27284. The listed phone number is (336) 564-4866.

What is Santosh Sigdel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Santosh Sigdel enrolled in Medicare?

Yes. Santosh Sigdel 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 Santosh Sigdel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Santosh Sigdel reassigns Medicare benefits to 3 organizations: Novant Health Medical Group, LLC (Kernersville, NC), Moses Cone Physician Services, Inc (Greensboro, NC) and Avera Mckennan (Rock Rapids, IA). 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 Santosh Sigdel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Santosh Sigdel accept?

Health plans from AmeriHealth Caritas Next list Santosh Sigdel 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 Santosh Sigdel affiliated with any hospitals?

According to CMS data, Santosh Sigdel is affiliated with Novant Health Forsyth Medical Center and Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Santosh Sigdel was last updated on October 11, 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.