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SHUBHI SEHGAL MD
NPI 1124006028
Internal Medicine - Endocrinology, Diabetes & Metabolism in Summit, WI

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
36500 AURORA DR, SUMMIT, WI 53066(262) 434-5000 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 24, 2024, Nov 22, 2021 (2 updates tracked since 2021).

About Shubhi Sehgal Md NPPES

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

SHUBHI SEHGAL MD (NPI 1124006028) is an individual endocrinology, diabetes & metabolism provider in Summit, Wisconsin, licensed in Wisconsin (53645) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora Memorial Hospital Burlington, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1124006028
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameSHUBHI SEHGALCredential: MD
Location Address36500 AURORA DRSummit, WI 53066-4899
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 434-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 3, 2006
Last NPPES UpdateDecember 24, 20242 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
✔ NPI 1124006028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in WI · 53645✔ Licensed in MI · 4301076157
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
36500 AURORA DR, Summit, WI 53066
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Other Identifiers 4

Medicaid4913131MI
Medicaid4776079MI
Other05919279Ecfmg
Medicaid100006843WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Shubhi Sehgal 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 ID9032134044
PECOS Enrollment IDI20100122000433
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 10

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.
580 services442 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
163 services95 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
148 services59 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
94 services80 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
90 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
84 services68 patients

Hospital Affiliations CMS Care Compare 4

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

Aurora Memorial Hospital Burlington

Acute Care Hospitals · Burlington, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520059
Location252 Mchenry StBurlington, WI 53105 · Racine County
Emergency services

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Watertown Memorial Hospital

Acute Care Hospitals · Watertown, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520116
Location125 Hospital DriveWatertown, WI 53098 · Dodge County
Emergency services Birthing friendly

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers28 claims320 services$17.58 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers28 claims731 services$2.29 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
39 suppliers139 claims585 services$6.31 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers36 claims77 services$1.03 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
4 suppliers23 claims23 services$318.27 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
4 suppliers15 claims1,540 services$6.66 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.

BIJAN NEZAMI
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
KEVIN L EGGLESTON M.D.
Hospitalist
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-4711
KODY LEWIS PA C
Physician Assistant
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
REBECCA M STRIET M.D.
Preventive Medicine (Undersea and Hyperbaric Medicine)
36500 AURORA DR, DEPARTMENT OF WOUND CARE/HYPERBARIC MEDICINE 3RD FLOOR
SUMMIT, WI 53066
Waukesha County (262) 434-5000
REBECCA SUSA DPT, ATC-L
Physical Therapist
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-2600
VIJAY JOHNSON M.D
Internal Medicine (Critical Care Medicine)
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
MRS. KELLY S CAMPBELL ANP-BC
Nurse Practitioner
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000
DR. BRETT MCLACHLAN M.D.
Emergency Medicine
36500 AURORA DR
SUMMIT, WI 53066
Waukesha County (262) 434-1000

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 Shubhi Sehgal's NPI number?

The NPI number for Shubhi Sehgal is 1124006028. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Shubhi Sehgal located?

Shubhi Sehgal practices at 36500 Aurora Dr, Summit, WI 53066. The listed phone number is (262) 434-5000.

What is Shubhi Sehgal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Shubhi Sehgal enrolled in Medicare?

Yes. Shubhi 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.

What insurance does Shubhi Sehgal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Shubhi 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.

Is Shubhi Sehgal affiliated with any hospitals?

According to CMS data, Shubhi Sehgal is affiliated with Aurora Memorial Hospital Burlington, Fort Memorial Hospital, Watertown Memorial Hospital and Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Shubhi Sehgal was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.