DR. PRIYA SEHGAL MD
NPI 1336671841
Internal Medicine - Gastroenterology in Philadelphia, PA
About Dr. Priya Sehgal Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRIYA SEHGAL MD (NPI 1336671841) is an individual gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD480805) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and maintains a secondary practice location in Cherry Hill.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
Dr. Priya 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.
Medicare Billing Reassignments
3Medicare enrollment records show Priya Sehgal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 141 clinicians in this Medicare group
Voorhees, NJ 08043
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Jefferson University Physicians Of New Jersey PC
- 186 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Stratford Hospital
Acute Care Hospitals · Stratford, NJThomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19107
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 Priya Sehgal's NPI number?
The NPI number for Priya Sehgal is 1336671841. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Priya Sehgal located?
Priya Sehgal practices at 1101 Chestnut St, Philadelphia, PA 19107. The listed phone number is (215) 955-8900.
What is Priya Sehgal's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Priya Sehgal enrolled in Medicare?
Yes. Priya 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 organizations bill Medicare for Priya Sehgal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priya Sehgal reassigns Medicare benefits to 3 organizations: Jefferson University Physicians (Philadelphia, PA), University Of Penn-Medical Group (Philadelphia, PA) and Jefferson University Physicians Of New Jersey, P.C. (Voorhees, NJ). Each 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 Priya Sehgal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priya Sehgal accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Priya 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 Priya Sehgal affiliated with any hospitals?
According to CMS data, Priya Sehgal is affiliated with Jefferson Stratford Hospital and Thomas Jefferson University Hospital.
When was this NPI record last updated?
The NPPES record for Priya Sehgal was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Dr. Priya Sehgal, MD · NPI 1336671841
Gastroenterology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1336671841 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** MD480805 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1101 CHESTNUT ST, Philadelphia, PA 19107-3612
- **Phone:** (215) 955-8900 · **Fax:** (215) 955-5245
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jefferson University Physicians (NPI 1326093675, Philadelphia, PA); University Of Penn-Medical Group (NPI 1447648464, Philadelphia, PA); Jefferson University Physicians Of New Jersey, P.C. (NPI 1083039200, Voorhees, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 2017
## Record status
- **NPPES last updated:** February 7, 2025
- **Other identifiers:** Other MD480805 (PA); Other 25MA12248200 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1336671841) · Data from the CMS NPPES public registry.