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SEPIDEH SEDGH DO
NPI 1316107204
Internal Medicine - Pulmonary Disease in Rockville Centre, NY

Active since June 13, 2008PECOS EnrolledAccepts Medicare Assignment
84.39/100
CMS Quality Rating
200 N VILLAGE AVE STE 300, ROCKVILLE CENTRE, NY 11570(516) 536-8151(516) 536-8153 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sepideh Sedgh Do NPPES

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

SEPIDEH SEDGH DO (NPI 1316107204) is an individual pulmonary disease provider in Rockville Centre, New York, licensed in New York (264403) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2008).

NPPES Registry Identity

NPI1316107204
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameSEPIDEH SEDGHCredential: DO
Location Address200 N VILLAGE AVE STE 300Rockville Centre, NY 11570-2300
Mailing Address200 N Village Ave Ste 300Rockville Centre, NY 11570-2300 · (516) 536-8151 · Fax (516) 536-8153
Phone(516) 536-8151
Fax(516) 536-8153
Sole ProprietorYes
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2008
Enumeration DateJune 13, 2008
Last NPPES UpdateJuly 1, 2015
✔ NPI 1316107204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 264403
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 264403-1 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 264403 (NY)
200 N VILLAGE AVE STE 300, Rockville Centre, NY 11570
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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

Sepideh Sedgh Do 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 ID9537479407
PECOS Enrollment IDI20151104001888
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 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
352 services216 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.34
Promoting Interoperability100
Improvement Activities40
Cost57.02

Other Providers at the Same Location NPPES 5

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

ISLAND UROLOGICAL ASSOCIATES, P.C.
Urology (Pediatric Urology)
200 N VILLAGE AVE STE 300
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-2929
DANIEL KURBANOV M.D.
Internal Medicine (Critical Care Medicine)
200 N VILLAGE AVE STE 300
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 536-8151
MR. RANY ISRAEL P.A.
Physician Assistant (Medical)
200 N VILLAGE AVE STE 300
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 766-2929
MEGALLY MEDICAL PLLC
Internal Medicine (Pulmonary Disease)
200 N VILLAGE AVE STE 300
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 536-8151
DR. MICHAEL NABIL MEGALLY M.D.
Internal Medicine (Pulmonary Disease)
200 N VILLAGE AVE STE 300
ROCKVILLE CTR, NY 11570
Nassau County (516) 536-8151

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 Sepideh Sedgh's NPI number?

The NPI number for Sepideh Sedgh is 1316107204. It was assigned to this individual provider in the NPPES registry on June 13, 2008.

Where is Sepideh Sedgh located?

Sepideh Sedgh practices at 200 N Village Ave Ste 300, Rockville Centre, NY 11570. The listed phone number is (516) 536-8151.

What is Sepideh Sedgh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sepideh Sedgh enrolled in Medicare?

Yes. Sepideh Sedgh 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.

Is Sepideh Sedgh affiliated with any hospitals?

According to CMS data, Sepideh Sedgh is affiliated with St Francis Hospital - The Heart Center and Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Sepideh Sedgh was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.