SANDEEP SEHGAL M.D.
NPI 1326066218
Internal Medicine - Interventional Cardiology in Valparaiso, IN

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
85 E US HIGHWAY 6 STE 300, VALPARAISO, IN 46383(219) 983-6300(219) 983-6300 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 14, 2020, Aug 3, 2018 (2 updates tracked since 2018).

About Sandeep Sehgal M.d. NPPES

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

SANDEEP SEHGAL M.D. (NPI 1326066218) is an individual interventional cardiology provider in Valparaiso, Indiana, licensed in Indiana (01059650A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326066218
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameSANDEEP SEHGALCredential: M.D.
Location Address85 E US HIGHWAY 6 STE 300Valparaiso, IN 46383
Mailing Address2022 Kelle DrChesterton, IN 46304-8708 · (219) 364-3616 · Fax (219) 364-3610
Fax(219) 983-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 18, 2006
Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
NPI 1326066218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in IN · 01059650A
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 01059650A (IN)
85 E US HIGHWAY 6 STE 300, Valparaiso, IN 46383

Secondary Practice Locations 2

Location 13630 Willowcreek Rd Ste 1Portage, IN 46368-5075 · Phone (216) 364-3062 · Fax (219) 364-3229
Location 22000 Roosevelt Rd Ste 205Valparaiso, IN 46383-2802 · Phone (219) 263-7600 · Fax (219) 263-7659

Other Identifiers 4

OtherP00215173Railroad Medicare
Other90000561Blue Shield Of Il
Medicaid200509580IN
Other000000364070Blue Cross Blue Shield In

Accepted 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

Sandeep Sehgal M.d. 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 ID840250908
PECOS Enrollment IDI20050414001189
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 35

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.
1,915 services1,229 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
882 services838 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.
635 services178 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
317 services268 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
233 services186 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
186 services183 patients

Hospital Affiliations CMS Care Compare 5

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

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Northwest Health - Starke

Acute Care Hospitals · Knox, IN
OwnershipProprietary
CMS Certification Number150102
Location102 E Culver RdKnox, IN 46534 · Starke County
Emergency services

Pulaski Memorial Hospital

Critical Access Hospitals · Winamac, IN
OwnershipVoluntary non-profit - Other
CMS Certification Number151305
Location616 E 13th StWinamac, IN 46996 · Pulaski County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
35%536 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
41%1,374 patients2/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
76%385 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,120 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
48%1,743 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
87%2,488 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,242 patients
Patients tobacco: 3% · 92 patients
89%1,242 patients4/55-star benchmark: 98%
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.

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.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier14 claims14 services$2,258.33 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 10

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

Nurse Practitioner
85 E US HIGHWAY 6 STE 300
VALPARAISO, IN 46383
Internal Medicine (Cardiovascular Disease)
85 E US HIGHWAY 6 STE 300
VALPARAISO, IN 46383
Nurse Practitioner (Family)
85 E US HIGHWAY 6 STE 300
VALPARAISO, IN 46383
Internal Medicine (Clinical Cardiac Electrophysiology)
85 E US HIGHWAY 6 STE 300
VALPARAISO, IN 46383
Internal Medicine (Interventional Cardiology)
85 E US HIGHWAY 6 STE 300
VALPARAISO, IN 46383
Internal Medicine (Interventional Cardiology)
85 E US HIGHWAY 6 STE 300
VALPARAISO, IN 46383
Internal Medicine (Cardiovascular Disease)
85 E US HIGHWAY 6 STE 300
VALPARAISO, IN 46383
Internal Medicine (Cardiovascular Disease)
85 E US HIGHWAY 6 STE 300
VALPARAISO, IN 46383

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 Sandeep Sehgal's NPI number?

The NPI number for Sandeep Sehgal is 1326066218. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Sandeep Sehgal located?

Sandeep Sehgal practices at 85 E Us Highway 6 Ste 300, Valparaiso, IN 46383. The listed phone number is (219) 983-6300.

What is Sandeep Sehgal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Sandeep Sehgal enrolled in Medicare?

Yes. Sandeep 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 Sandeep Sehgal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Sandeep 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 Sandeep Sehgal affiliated with any hospitals?

According to CMS data, Sandeep Sehgal is affiliated with Northwest Health-La Porte, St Mary Medical Center Inc, Northwest Health - Porter, Northwest Health - Starke and Pulaski Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Sandeep Sehgal was last updated on September 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.