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DR. SANGEETA GULATI MD
NPI 1255418315
Internal Medicine - Gastroenterology in Knoxville, TN

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1928 ALCOA HIGHWAY, B100, KNOXVILLE, TN 37920(865) 305-6570(865) 305-6576 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sangeeta Gulati Md NPPES

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

DR. SANGEETA GULATI MD (NPI 1255418315) is an individual gastroenterology provider in Knoxville, Tennessee, licensed in Tennessee (MD36673) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of East Tennessee State University Quillen College Of Medicine (1994).

NPPES Registry Identity

NPI1255418315
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. SANGEETA GULATICredential: MD
Location Address1928 ALCOA HIGHWAY, B100Knoxville, TN 37920
Mailing AddressPo Box 440395Nashville, TN 37244-0395 · (865) 305-6570 · Fax (865) 305-6576
Phone(865) 305-6570
Fax(865) 305-6576
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1994
Enumeration DateNovember 1, 2006
Last NPPES UpdateMay 27, 2008
✔ NPI 1255418315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TN · MD36673
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1928 ALCOA HIGHWAY, Knoxville, TN 37920
Open in Google Maps ↗

Other Identifiers 4

Other4044848TN · Bcbs
Medicare PINP00153963TN
Medicare UPINH72603
Medicare ID-Type Unspecified3877812

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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. Sangeeta Gulati 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 ID3173674744
PECOS Enrollment IDI20090623000272
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 11

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
96 services93 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
94 services93 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.
84 services77 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
74 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 patients
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.
36 services34 patients

Hospital Affiliations CMS Care Compare

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

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
91%101 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
88%835 patients4/55-star benchmark: 99%
NHCR4: Repeat screening or surveillance colonoscopy recommended within one year due to inadequate/poor bowel preparation
Percentage of patients recommended for repeat screening or surveillance colonoscopy within one year or less due to inadequate/poor bowel preparation quality
47%129 patients
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 2

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

DR. CARLOS A ROLLHAUSER MD
Internal Medicine (Gastroenterology)
1928 ALCOA HIGHWAY, B100
KNOXVILLE, TN 37920
Knox County (865) 305-6570
MS. CONNIE MCMAHAN ADVANCED PRACTICE NU
Internal Medicine (Gastroenterology)
1928 ALCOA HIGHWAY, B100
KNOXVILLE, TN 37920
Knox County (865) 544-6570

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 Sangeeta Gulati's NPI number?

The NPI number for Sangeeta Gulati is 1255418315. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Sangeeta Gulati located?

Sangeeta Gulati practices at 1928 Alcoa Highway B100, Knoxville, TN 37920. The listed phone number is (865) 305-6570.

What is Sangeeta Gulati's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sangeeta Gulati enrolled in Medicare?

Yes. Sangeeta Gulati 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 Sangeeta Gulati accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Sangeeta Gulati 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 Sangeeta Gulati affiliated with any hospitals?

According to CMS data, Sangeeta Gulati is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Sangeeta Gulati was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.