SANDEEP DUGGAL MD
NPI 1609813872
Emergency Medicine in Houston, TX

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
95.33/100
CMS Quality Rating
11800 ASTORIA BLVD, HOUSTON, TX 77089(281) 929-6100 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandeep Duggal Md NPPES

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

SANDEEP DUGGAL MD (NPI 1609813872) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (M9986) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital Of Laredo, and is a graduate of New York Medical College (1999).

NPPES Registry Identity

NPI1609813872
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSANDEEP DUGGALCredential: MD
Location Address11800 ASTORIA BLVDHouston, TX 77089-6041
Mailing Address11800 Astoria BlvdHouston, TX 77089-6041 · (281) 929-6100
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1999
Enumeration DateMay 31, 2006
Last NPPES UpdateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
NPI 1609813872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TX · M9986 Licensed in FL · ME92370
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11800 ASTORIA BLVD, Houston, TX 77089

Other Identifiers 3

Medicaid199074921TX
Other01533FL · Blue Shield
Medicaid271995900FL

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

Sandeep Duggal 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 ID3375518871
PECOS Enrollment IDI20090127000619
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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
318 services296 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
260 services250 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
160 services156 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
83 services82 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
51 services51 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital Of Laredo

Acute Care Hospitals · Laredo, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450643
Location10700 Mcpherson RoadLaredo, TX 78041 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77089 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

95.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.76
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.

Nurse Anesthetist, Certified Registered
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Hospitalist
11800 ASTORIA BLVD
HOUSTON, TX 77089
Hospitalist
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Emergency Medicine
11800 ASTORIA BLVD
HOUSTON, TX 77089
Pharmacist
11800 ASTORIA BLVD
HOUSTON, TX 77089

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 Sandeep Duggal's NPI number?

The NPI number for Sandeep Duggal is 1609813872. It was assigned to this individual provider in the NPPES registry on May 31, 2006.

Where is Sandeep Duggal located?

Sandeep Duggal practices at 11800 Astoria Blvd, Houston, TX 77089. The listed phone number is (281) 929-6100.

What is Sandeep Duggal's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sandeep Duggal enrolled in Medicare?

Yes. Sandeep Duggal 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 Sandeep Duggal accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Sandeep Duggal 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 Sandeep Duggal affiliated with any hospitals?

According to CMS data, Sandeep Duggal is affiliated with Doctors Hospital Of Laredo.

When was this NPI record last updated?

The NPPES record for Sandeep Duggal was last updated on September 22, 2020. 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.