SHAILEN SHIVAM SEHGAL MD
NPI 1356549778
Urology in Pittsburgh, PA

Active since July 06, 2007PECOS EnrolledAccepts Medicare Assignment
1145 BOWER HILL RD STE 105, PITTSBURGH, PA 15243(412) 579-6194(412) 572-6195 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shailen Shivam Sehgal Md NPPES

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

SHAILEN SHIVAM SEHGAL MD (NPI 1356549778) is an individual urology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD443550) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, and is a graduate of Js Weill Medical College, Cornell University (2007).

NPPES Registry Identity

NPI1356549778
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameSHAILEN SHIVAM SEHGALCredential: MD
Location Address1145 BOWER HILL RD STE 105Pittsburgh, PA 15243-1346
Mailing Address1000 Bower Hill Road, St Clair Hospital - Affiliate Billing - PamalynPittsburgh, PA 15243-1873 · (412) 942-2548
Fax(412) 572-6195
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2007
Enumeration DateJuly 6, 2007
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
NPI 1356549778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in PA · MD443550
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1145 BOWER HILL RD STE 105, Pittsburgh, PA 15243

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

Shailen Shivam 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 ID9830342344
PECOS Enrollment IDI20130114000043, I20131004000131
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 17

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.
495 services341 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
426 services330 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
223 services177 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
221 services162 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
185 services140 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
119 services98 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Medical Ctr East &trinity Medical Ctr West

Acute Care Hospitals · Steubenville, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360211
Location380 Summit AvenueSteubenville, OH 43952 · Jefferson County
Emergency services Birthing friendly

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Weirton Medical Center, Inc

Acute Care Hospitals · Weirton, WV
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510023
Location601 Colliers WayWeirton, WV 26062 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15243 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier38 claims3,810 services$0.10 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier47 claims4,230 services$1.57 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 13

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

Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Physician Assistant
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Anesthesiology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Nurse Practitioner (Family)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Specialist
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Nurse Practitioner (Family)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243

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 Shailen Sehgal's NPI number?

The NPI number for Shailen Sehgal is 1356549778. It was assigned to this individual provider in the NPPES registry on July 6, 2007.

Where is Shailen Sehgal located?

Shailen Sehgal practices at 1145 Bower Hill Rd Ste 105, Pittsburgh, PA 15243. The listed phone number is (412) 579-6194.

What is Shailen Sehgal's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Shailen Sehgal enrolled in Medicare?

Yes. Shailen 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 Shailen Sehgal accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Shailen 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 Shailen Sehgal affiliated with any hospitals?

According to CMS data, Shailen Sehgal is affiliated with Trinity Medical Ctr East &trinity Medical Ctr West, Penn Highlands Mon Valley, St Clair Hospital, Jefferson Hospital and Weirton Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Shailen Sehgal was last updated on March 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.