VIKAS KUMAR SANGWAN MD
NPI 1326270356
Internal Medicine - Gastroenterology in Athens, GA

Active since August 09, 2009PECOS EnrolledAccepts Medicare Assignment
658 N CHASE ST STE 201, ATHENS, GA 30601(762) 356-4785 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2024, Dec 12, 2023, Jul 21, 2022 (3 updates tracked since 2022).

About Vikas Kumar Sangwan Md NPPES

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

VIKAS KUMAR SANGWAN MD (NPI 1326270356) is an individual gastroenterology provider in Athens, Georgia, licensed in Georgia (96331) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains a secondary practice location in Watkinsville.

NPPES Registry Identity

NPI1326270356
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVIKAS KUMAR SANGWANCredential: MD
Location Address658 N CHASE ST STE 201Athens, GA 30601-1960
Mailing Address3320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · (706) 353-2990 · Fax (706) 353-2992
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 9, 2009
Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
NPI 1326270356 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 GA · 96331
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.
658 N CHASE ST STE 201, Athens, GA 30601

Secondary Practice Location 1

Location 11460 Resurgence DrWatkinsville, GA 30677-7320 · Phone (706) 715-2410

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Vikas Kumar Sangwan 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 ID2769638212
PECOS Enrollment IDI20230816001741
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 19

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.

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.
114 services108 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.
86 services63 patients
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.
83 services80 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
52 services52 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.
49 services49 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.
44 services41 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number111329
Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30601 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 9

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

Physician Assistant
658 N CHASE ST STE 201
ATHENS, GA 30601
Nurse Practitioner (Family)
658 N CHASE ST STE 201
ATHENS, GA 30601
Internal Medicine (Gastroenterology)
658 N CHASE ST STE 201
ATHENS, GA 30601
Physician Assistant
658 N CHASE ST STE 201
ATHENS, GA 30601
Internal Medicine (Gastroenterology)
658 N CHASE ST STE 201
ATHENS, GA 30601
Internal Medicine (Gastroenterology)
658 N CHASE ST STE 201
ATHENS, GA 30601
Orthopaedic Surgery
658 N CHASE ST STE 201
ATHENS, GA 30601
Nurse Practitioner (Family)
658 N CHASE ST STE 201
ATHENS, GA 30601

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 Vikas Sangwan's NPI number?

The NPI number for Vikas Sangwan is 1326270356. It was assigned to this individual provider in the NPPES registry on August 9, 2009.

Where is Vikas Sangwan located?

Vikas Sangwan practices at 658 N Chase St Ste 201, Athens, GA 30601. The listed phone number is (762) 356-4785.

What is Vikas Sangwan's specialty?

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

Is Vikas Sangwan enrolled in Medicare?

Yes. Vikas Sangwan 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 Vikas Sangwan accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Vikas Sangwan 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 Vikas Sangwan affiliated with any hospitals?

According to CMS data, Vikas Sangwan is affiliated with St Mary's Hospital, Piedmont Athens Regional Medical Center and St. Mary's Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Vikas Sangwan was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.