DR. PRIYA SEHGAL MD
NPI 1336671841
Internal Medicine - Gastroenterology in Philadelphia, PA

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
1101 CHESTNUT ST, PHILADELPHIA, PA 19107(215) 955-8900(215) 955-5245 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2025, Sep 12, 2024 (2 updates tracked since 2024).

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

NPI1336671841
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PRIYA SEHGALCredential: MD
Location Address1101 CHESTNUT STPhiladelphia, PA 19107-3612
Mailing Address132 S 10th Street, 480 Main BuildingPhiladelphia, PA 19107-5244
Fax(215) 955-5245
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2025
NPI 1336671841 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 PA · MD480805
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.
1101 CHESTNUT ST, Philadelphia, PA 19107

Secondary Practice Location 1

Location 12211 Chapel Ave W Ste 401Cherry Hill, NJ 08002-2062 · Phone (215) 955-8900

Other Identifiers 2

OtherMD480805PA · License
Other25MA12248200NJ · License

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

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.

PECOS PAC ID6800137431
PECOS Enrollment IDI20230908000351, I20240608000203
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services17 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.
12 services12 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.
11 services11 patients

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, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310086
Location18 East Laurel RoadStratford, NJ 08084 · Camden County
Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician 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.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Dietitian, Registered
1101 CHESTNUT ST
PHILA, PA 19107
Psychiatry & Neurology (Neurology)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine (Gastroenterology)
1101 CHESTNUT ST
PHILA, PA 19107
Speech-Language Pathologist
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Internal Medicine (Gastroenterology)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Audiologist
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Family)
1101 CHESTNUT ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Adult Health)
1101 CHESTNUT ST
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.

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 17 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.