DR. ASHVINI SENGAR M.D.
NPI 1376520254
Internal Medicine - Hematology & Oncology in Gadsden, AL

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
92.24/100
CMS Quality Rating
355 S 2ND ST, GADSDEN, AL 35901(256) 547-0536 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ashvini Sengar M.d. NPPES

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

DR. ASHVINI SENGAR M.D. (NPI 1376520254) is an individual hematology & oncology provider in Gadsden, Alabama, licensed in Alabama (30196) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1376520254
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. ASHVINI SENGARCredential: M.D.
Location Address355 S 2ND STGadsden, AL 35901-5202
Mailing Address509 Energy Center Blvd Ste 804Northport, AL 35473-2798 · (205) 345-7892
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 30, 2005
Last NPPES UpdateJune 15, 2022
NPPES CertifiedJune 15, 2022
NPI 1376520254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in AL · 30196 Licensed in NE · 22433
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
355 S 2ND ST, Gadsden, AL 35901

Other Identifiers 3

Other240202NE · Midlands Choice Ind Numbe
Other01259NE · Blue Cross Ind Number
Medicaid200379290AKS

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. Ashvini Sengar 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 ID7315947488
PECOS Enrollment IDI20100924000742
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 50

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.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
16,830 services22 patients
Injection, oxaliplatin, 0.5 mg J9263
Oxaliplatin is a chemotherapy drug that is administered via injection. It works by stopping cancer cells from growing and dividing, which helps in the treatment of certain types of cancer. The dosage is 0.5 mg, and it's important to follow your doctor's instructions for this treatment.
15,400 services11 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
8,160 services52 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
7,050 services16 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
2,734 services70 patients
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg J1568
This procedure involves an intravenous injection of Octagam, a liquid immune globulin. It is a blood product that helps your body fight off infections. It's given through a vein (IV) and each dose contains 500 mg of the medication.
2,270 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

92.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.27
Promoting Interoperability92
Improvement Activities40
Cost68.83

Referred Medical Equipment & Supplies CMS DME claims 3

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$102.54 avg. paid by Medicare
Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers17 claims1,316 services$0.58 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers13 claims13 services$17.61 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 2

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

Nurse Practitioner (Family)
355 S 2ND ST
GADSDEN, AL 35901
Internal Medicine (Medical Oncology)
355 S 2ND ST
GADSDEN, AL 35901

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 Ashvini Sengar's NPI number?

The NPI number for Ashvini Sengar is 1376520254. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Ashvini Sengar located?

Ashvini Sengar practices at 355 S 2nd St, Gadsden, AL 35901. The listed phone number is (256) 547-0536.

What is Ashvini Sengar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Ashvini Sengar enrolled in Medicare?

Yes. Ashvini Sengar 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 Ashvini Sengar accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Ashvini Sengar 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.

When was this NPI record last updated?

The NPPES record for Ashvini Sengar was last updated on June 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.