DR. REKHA SEHGAL M.D.
NPI 1629019955
Family Medicine in Vineland, NJ

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
86.44/100
CMS Quality Rating
1138 E CHESTNUT AVE STE 8A, VINELAND, NJ 08360(856) 691-1230(844) 728-7976 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rekha Sehgal M.d. NPPES

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

DR. REKHA SEHGAL M.D. (NPI 1629019955) is an individual family medicine provider in Vineland, New Jersey, licensed in New Jersey (25MA04158700) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1629019955
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. REKHA SEHGALCredential: M.D.
Location Address1138 E CHESTNUT AVE STE 8AVineland, NJ 08360-5053
Mailing AddressPo Box 1385Vineland, NJ 08362-1385 · (856) 691-1230 · Fax (844) 728-7976
Fax(844) 728-7976
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJune 9, 2006
Last NPPES UpdateMarch 25, 2025
NPPES CertifiedMarch 25, 2025
NPI 1629019955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MA04158700
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1138 E CHESTNUT AVE STE 8A, Vineland, NJ 08360

Other Identifiers 1

Medicaid1974700NJ

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. Rekha Sehgal 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 ID5092710186
PECOS Enrollment IDI20060925000017
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 22

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,404 services245 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
750 services113 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
531 services105 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
263 services141 patients
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.
188 services124 patients
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.
170 services147 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08360 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.67
Promoting Interoperability91
Improvement Activities40
Cost43.29

Reported Quality Measures

Breast Cancer Screening
65%485 patients3/55-star benchmark: 93%
Cervical Cancer Screening
7%652 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
11%456 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
80%924 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
70%763 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
6%424 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
26%424 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
76%6,943 patients3/55-star benchmark: 100%
e-Prescribing
99%5,594 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
60%842 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
56%1,968 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
63%1,346 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
14%3,221 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 8% · 1,395 patients
Patients screened: 8% · 1,395 patients
95%20 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
44%1,412 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%643 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 841 patients
Patients totalRate: 13% · 892 patients
13%892 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers60 claims129 services$6.06 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers21 claims24 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers46 claims46 services$15.25 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier22 claims22 services$5.93 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$10.52 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$9.91 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 4

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

Family Medicine (Adult Medicine)
1138 E CHESTNUT AVE STE 8A
VINELAND, NJ 08360
Family Medicine
1138 E CHESTNUT AVE STE 8A
VINELAND, NJ 08360
Internal Medicine (Nephrology)
1138 E CHESTNUT AVE STE 8A
VINELAND, NJ 08360
Family Medicine
1138 E CHESTNUT AVE STE 8A
VINELAND, NJ 08360

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 Rekha Sehgal's NPI number?

The NPI number for Rekha Sehgal is 1629019955. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Rekha Sehgal located?

Rekha Sehgal practices at 1138 E Chestnut Ave Ste 8A, Vineland, NJ 08360. The listed phone number is (856) 691-1230.

What is Rekha Sehgal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rekha Sehgal enrolled in Medicare?

Yes. Rekha 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 Rekha Sehgal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rekha 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 Rekha Sehgal affiliated with any hospitals?

According to CMS data, Rekha Sehgal is affiliated with Cape Regional Medical Center Inc and Inspira Medical Center Vineland.

When was this NPI record last updated?

The NPPES record for Rekha Sehgal was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.