ANDREW SAGALOV DO
NPI 1417695735
Internal Medicine - Cardiovascular Disease in Springfield, IL

Q: What is Andrew Sagalov's NPI number?

The NPI number for Andrew Sagalov is 1417695735. It was assigned to this individual provider in the NPPES registry on May 25, 2022.

Q: What is Andrew Sagalov's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Sagalov was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 25, 2022PECOS Enrolled

701 N 1ST ST STE D434, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7063 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 18, 2025, Jul 4, 2025, May 25, 2022 (3 updates tracked since 2022).

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About Andrew Sagalov Do NPPES

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

ANDREW SAGALOV DO (NPI 1417695735) is an individual cardiovascular disease provider in Springfield, Illinois, licensed in Illinois (036173845) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417695735

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameANDREW SAGALOVCredential: DO

Location Address701 N 1ST ST STE D434Springfield, IL 62702-3757

Mailing AddressPo Box 19636Springfield, IL 62794-9636 · (217) 545-8000 · Fax (217) 545-7063

Phone(217) 545-8000

Fax(217) 545-7063

Sole ProprietorNo

Enumeration DateMay 25, 2022

Last NPPES UpdateDecember 18, 20253 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1417695735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IL · 036173845

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

701 N 1ST ST STE D434, Springfield, IL 62702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Sagalov Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 6

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

FADEL AHMED BOFARRAG MD, MPH

Internal Medicine (Cardiovascular Disease)