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RASHMI SEHGAL
NPI 1174170872
Nurse Practitioner - Family in Flemington, NJ

Active since August 19, 2019PECOS Enrolled
80.48/100
CMS Quality Rating
121 ROUTE 31 STE 1000, FLEMINGTON, NJ 08822(908) 788-6373(908) 788-2525 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2021, Nov 25, 2019, Aug 19, 2019 (3 updates tracked since 2019).

About Rashmi Sehgal NPPES

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

RASHMI SEHGAL (NPI 1174170872) is an individual family provider in Flemington, New Jersey, licensed in New Jersey (26NJ00950200) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Skillman, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1174170872
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRASHMI SEHGAL
Location Address121 ROUTE 31 STE 1000Flemington, NJ 08822-5755
Mailing AddressPo Box 232Blawenburg, NJ 08504-0232 · (609) 333-0183
Phone(908) 788-6373
Fax(908) 788-2525
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 19, 2019
Last NPPES UpdateJune 2, 20213 updates tracked since enumeration
NPPES CertifiedJune 2, 2021
✔ NPI 1174170872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00950200
121 ROUTE 31 STE 1000, Flemington, NJ 08822
Open in Google Maps ↗

Secondary Practice Location 1

Location 112 Daisy CtSkillman, NJ 08558-2424 · Phone (609) 333-0183

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rashmi Sehgal is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123452539
PECOS Enrollment IDI20191218000122
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 Rashmi Sehgal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Emergency Medicine Associates, LLC
18 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Wound Healing Solutions LLC
46 mi
Adult Health
600 CLEMENTS BRIDGE RD
Barrington, NJ 08007
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
NPI 1225069966 (856) 547-8000
Mark Ilyagu Medical PC
61 mi
Internal Medicine
70 E SUNRISE HWY STE 500
Valley Stream, NY 11581
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1619699915 (717) 716-7107

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08822 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

80.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.86
Promoting Interoperability100
Improvement Activities40
Cost52.09

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.

ANNALISA TRAINA LCSW
Social Worker (Clinical)
121 ROUTE 31 STE 1000
FLEMINGTON, NJ 08822
Hunterdon County (908) 237-5520
CHRISTOPHER J WEST MD
Family Medicine (Hospice and Palliative Medicine)
121 ROUTE 31 STE 1000
FLEMINGTON, NJ 08822
Hunterdon County (908) 237-7018
DR. RACHANA J KOTHARI MD
Hospitalist
121 ROUTE 31 STE 1000
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6373
JULIANNE WILSON APN
Nurse Practitioner
121 ROUTE 31 STE 1000
FLEMINGTON, NJ 08822
Hunterdon County (908) 237-7018
LARISA GOLUB MD
Family Medicine (Geriatric Medicine)
121 ROUTE 31 STE 1000
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6373
DR. RENUKA TUNUGUNTLA M.D.
Internal Medicine (Geriatric Medicine)
121 ROUTE 31 STE 1000
FLEMINGTON, NJ 08822
Hunterdon County (908) 788-6373

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 Rashmi Sehgal's NPI number?

The NPI number for Rashmi Sehgal is 1174170872. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Rashmi Sehgal located?

Rashmi Sehgal practices at 121 Route 31 Ste 1000, Flemington, NJ 08822. The listed phone number is (908) 788-6373.

What is Rashmi Sehgal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Rashmi Sehgal enrolled in Medicare?

Yes. Rashmi Sehgal is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rashmi Sehgal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rashmi Sehgal reassigns Medicare benefits to 3 organizations: Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Wound Healing Solutions LLC (Barrington, NJ) and Mark Ilyagu Medical PC (Valley Stream, NY). 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 Rashmi Sehgal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rashmi Sehgal accept?

Health plans from Oscar Health list Rashmi 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 Rashmi Sehgal was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.