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SEJAL BAVISHI M.D.
NPI 1629334859
Pediatrics in Washington, DC

Active since April 02, 2012PECOS Enrolled
4200 WISCONSIN AVE NW, DEPARTMENT OF PEDIATRICS, WASHINGTON, DC 20016(201) 407-3935 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sejal Bavishi M.d. NPPES

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

SEJAL BAVISHI M.D. (NPI 1629334859) is an individual pediatrics provider in Washington, District Of Columbia, licensed in District Of Columbia (MD043202) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629334859
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSEJAL BAVISHICredential: M.D.
Location Address4200 WISCONSIN AVE NW, DEPARTMENT OF PEDIATRICSWashington, DC 20016-2143
Mailing Address145 Century Dr Apt 5404Alexandria, VA 22304-5791
Phone(201) 407-3935
Sole ProprietorYes
Enumeration DateApril 2, 2012
Last NPPES UpdateJune 18, 2015
✔ NPI 1629334859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in DC · MD043202
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4200 WISCONSIN AVE NW, Washington, DC 20016
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sejal Bavishi M.d. 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Sejal Bavishi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC
2.2 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1376887844 (Maryland)
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Mgmc LLC
2.2 mi
Psychiatry
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1891797148 (Maryland)
  • 861 clinicians in this Medicare group
NPI 1316949654 (888) 896-1400
Emergency Medicine Associates PA PC
4.6 mi
Emergency Medicine
1701 N GEORGE MASON DR
Arlington, VA 22205
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Medicare enrollment name: Emergency Medicine Associates P.A., P.C.
  • Also billed through NPI 1134117393 (Virginia)
  • 1,150 clinicians in this Medicare group
NPI 1588529887 (330) 493-4443

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

DR. ROBERT SEAN MCDONOUGH M.D.
Legal Medicine
4200 WISCONSIN AVE NW, PMB 106-204
WASHINGTON, DC 20016
District of Columbia (860) 273-0123
HANIEH JAFARIEH
Student in an Organized Health Care Education/Training Program
4200 WISCONSIN AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
DR. JOHN RICHARD REILLY M.D.
Emergency Medicine (Emergency Medical Services)
4200 WISCONSIN AVE NW, #223
WASHINGTON, DC 20016
District of Columbia (202) 466-1800
DR. ANN MARIE MARTIN MD
Student in an Organized Health Care Education/Training Program
4200 WISCONSIN AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
SURUCHI BATRA
Pediatrics (Pediatric Gastroenterology)
4200 WISCONSIN AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
JULIA FLEURY NP
Nurse Practitioner (Family)
4200 WISCONSIN AVE NW, 4TH FLOOR
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
AMI CRIST
Student in an Organized Health Care Education/Training Program
4200 WISCONSIN AVE NW, DEPT OF PEDIATRICS (4TH FLOOR)
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
DR. LIDIA LOPISO HAILE MD
Student in an Organized Health Care Education/Training Program
4200 WISCONSIN AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 243-3400

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 Sejal Bavishi's NPI number?

The NPI number for Sejal Bavishi is 1629334859. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Sejal Bavishi located?

Sejal Bavishi practices at 4200 Wisconsin Ave NW Department Of Pediatrics, Washington, DC 20016. The listed phone number is (201) 407-3935.

What is Sejal Bavishi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Sejal Bavishi enrolled in Medicare?

Yes. Sejal Bavishi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sejal Bavishi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sejal Bavishi reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Washington, DC), Mgmc LLC (Washington, DC) and Emergency Medicine Associates PA PC (Arlington, VA). 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 Sejal Bavishi'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 Sejal Bavishi was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.