DR. SEJAL S KUTHIALA MD
NPI 1093752826
Internal Medicine - Hematology & Oncology in Jacksonville, FL

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256(904) 739-7779(904) 739-7771 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sejal S Kuthiala Md NPPES

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

DR. SEJAL S KUTHIALA MD (NPI 1093752826) is an individual hematology & oncology provider in Jacksonville, Florida, licensed in Florida (ME 95618) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1093752826
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. SEJAL S KUTHIALACredential: MD
Location Address7015 A C SKINNER PKWY STE 1Jacksonville, FL 32256-6932
Mailing Address7751 Belfort Pkwy Ste 350Jacksonville, FL 32256-6951 · (904) 363-2113 · Fax (904) 538-3672
Fax(904) 739-7771
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 1, 2006
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
NPI 1093752826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in FL · ME 95618
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
7015 A C SKINNER PKWY STE 1, Jacksonville, FL 32256

Other Identifiers 5

Other302505FL · Avmed
Other7691884FL · Aetna
Medicaid275155100FL
Medicaid705046969AGA
Other42026FL · Bcbs

Accepted 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. Sejal S Kuthiala 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 ID9436162070
PECOS Enrollment IDI20060726000126
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 26

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.

Injection, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
20,250 services14 patients
Injection, darbepoetin alfa, 1 microgram (non-esrd use) J0881
Darbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
13,400 services15 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,340 services27 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,692 services26 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,400 services13 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.
950 services292 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%299 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
91%432 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Internal Medicine (Hematology & Oncology)
7015 A C SKINNER PKWY STE 1
JACKSONVILLE, FL 32256
Nurse Practitioner (Adult Health)
7015 A C SKINNER PKWY STE 1
JACKSONVILLE, FL 32256
Social Worker (Clinical)
7015 A C SKINNER PKWY STE 1
JACKSONVILLE, FL 32256
Internal Medicine (Hematology & Oncology)
7015 A C SKINNER PKWY STE 1
JACKSONVILLE, FL 32256
Internal Medicine (Hematology & Oncology)
7015 A C SKINNER PKWY STE 1
JACKSONVILLE, FL 32256
Internal Medicine (Hematology & Oncology)
7015 A C SKINNER PKWY STE 1
JACKSONVILLE, FL 32256

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 Sejal Kuthiala's NPI number?

The NPI number for Sejal Kuthiala is 1093752826. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Sejal Kuthiala located?

Sejal Kuthiala practices at 7015 A C Skinner Pkwy Ste 1, Jacksonville, FL 32256. The listed phone number is (904) 739-7779.

What is Sejal Kuthiala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sejal Kuthiala enrolled in Medicare?

Yes. Sejal Kuthiala 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 Sejal Kuthiala accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Sejal Kuthiala 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 Sejal Kuthiala affiliated with any hospitals?

According to CMS data, Sejal Kuthiala is affiliated with Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches, Hca Florida Memorial Hospital, Ascension St Vincent's Southside and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Sejal Kuthiala was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.