NIRAJ LAKSHMAN SEHGAL MD
NPI 1447213160
Internal Medicine in Stanford, CA

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
76.5/100
CMS Quality Rating
300 PASTEUR DR, STANFORD, CA 94305(650) 723-4000 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2024, Dec 23, 2020 (2 updates tracked since 2020).

About Niraj Lakshman Sehgal Md NPPES

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

NIRAJ LAKSHMAN SEHGAL MD (NPI 1447213160) is an individual internal medicine provider in Stanford, California, licensed in California (A69329) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Rush Medical College Of Rush University (1998).

NPPES Registry Identity

NPI1447213160
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRAJ LAKSHMAN SEHGALCredential: MD
Location Address300 PASTEUR DRStanford, CA 94305-2200
Mailing Address300 Pasteur DrStanford, CA 94305-2200 · (650) 723-4000
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 1998
Enumeration DateApril 11, 2006
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1447213160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A69329
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License A69329 (CA)
300 PASTEUR DR, Stanford, CA 94305

Secondary Practice Location 1

Location 1505 Parnassus AveSan Francisco, CA 94143-2204 · Phone (415) 476-0723 · Fax (415) 514-2094

Other Identifiers 1

Medicaid00A693290CA

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

Niraj Lakshman 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 ID4688652712
PECOS Enrollment IDI20040713001345
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Niraj Sehgal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
300 PASTEUR DRIVE
Stanford, CA 94305
  • Reassigned Medicare billing, California enrollment
  • 4,258 clinicians in this Medicare group
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
Endocrinology, Diabetes & Metabolism
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 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

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 discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94305 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

76.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.31
Promoting Interoperability100
Improvement Activities40
Cost43.95

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.

Internal Medicine (Gastroenterology)
300 PASTEUR DR, ALWAY BUILD M211, MC 5187
STANFORD, CA 94305
Radiology (Vascular & Interventional Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Psychiatry & Neurology (Psychiatry)
300 PASTEUR DR
STANFORD, CA 94305
Radiology (Diagnostic Radiology)
300 PASTEUR DR
STANFORD, CA 94305
Nurse Practitioner
300 PASTEUR DR
STANFORD, CA 94305
Neurological Surgery
300 PASTEUR DR
STANFORD, CA 94305
Pathology (Anatomic Pathology & Clinical Pathology)
300 PASTEUR DR, LANE 235
STANFORD, CA 94305
Internal Medicine (Critical Care Medicine)
300 PASTEUR DR
STANFORD, CA 94305

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 Niraj Sehgal's NPI number?

The NPI number for Niraj Sehgal is 1447213160. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Niraj Sehgal located?

Niraj Sehgal practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.

What is Niraj Sehgal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Niraj Sehgal enrolled in Medicare?

Yes. Niraj 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 Niraj Sehgal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Sehgal reassigns Medicare benefits to 4 organizations: Stanford Health Care (Stanford, CA), Lpch Medical Group Div Of Lucile (Palo Alto, CA), Regents Of The University Of California (San Francisco, CA) and University Of California San Francisco (San Francisco, CA). 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 Niraj Sehgal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Niraj Sehgal was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.