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KRITI KALRA-SEHGAL MD
NPI 1184065336
Internal Medicine - Endocrinology, Diabetes & Metabolism in Portsmouth, OH

Active since July 16, 2013PECOS EnrolledAccepts Medicare Assignment
1248 KINNEYS LN STE B, PORTSMOUTH, OH 45662(740) 356-7290(740) 356-7938 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2023, Jul 7, 2023, Sep 2, 2016 (3 updates tracked since 2016).

About Kriti Kalra-sehgal Md NPPES

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

KRITI KALRA-SEHGAL MD (NPI 1184065336) is an individual endocrinology, diabetes & metabolism provider in Portsmouth, Ohio, licensed in Ohio (35.148797) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1184065336
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKRITI KALRA-SEHGALCredential: MD
Location Address1248 KINNEYS LN STE BPortsmouth, OH 45662-2994
Mailing Address1735 27th St Ste B06Portsmouth, OH 45662-2681 · (740) 356-8681 · Fax (215) 226-8286
Phone(740) 356-7290
Fax(740) 356-7938
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 16, 2013
Last NPPES UpdateAugust 15, 20233 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1184065336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in OH · 35.148797
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD458306 (PA)
1248 KINNEYS LN STE B, Portsmouth, OH 45662
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kriti Kalra-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 ID4880822204
PECOS Enrollment IDI20230919000992
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 Reassignment

Medicare enrollment records show Kriti Kalra-sehgal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Somc Medical Care Foundation, Inc.
0.7 mi
Diagnostic Radiology
1805 27TH ST
Portsmouth, OH 45662
  • Reassigned Medicare billing, Ohio enrollment
  • 549 clinicians in this Medicare group
NPI 1366686230 (740) 356-8117

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.

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.
188 services90 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services43 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.
20 services14 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.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$26.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kriti Kalra-sehgal's NPI number?

The NPI number for Kriti Kalra-sehgal is 1184065336. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Where is Kriti Kalra-sehgal located?

Kriti Kalra-sehgal practices at 1248 Kinneys Ln Ste B, Portsmouth, OH 45662. The listed phone number is (740) 356-7290.

What is Kriti Kalra-sehgal's specialty?

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

Is Kriti Kalra-sehgal enrolled in Medicare?

Yes. Kriti Kalra-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 organization bills Medicare for Kriti Kalra-sehgal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kriti Kalra-sehgal reassigns Medicare benefits to Somc Medical Care Foundation, Inc. (Portsmouth, OH). The 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 Kriti Kalra-sehgal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kriti Kalra-sehgal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Kriti Kalra-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 Kriti Kalra-sehgal affiliated with any hospitals?

According to CMS data, Kriti Kalra-sehgal is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Kriti Kalra-sehgal was last updated on August 15, 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.