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SUSHEELA HADIGAL M.D.
NPI 1679832323
Internal Medicine - Sleep Medicine in Gainesville, FL

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
4740 NW 39TH PL, GAINESVILLE, FL 32606(352) 265-5240 Get Directions Write a Review

NPPES record last updated: March 23, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susheela Hadigal M.d. NPPES

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

SUSHEELA HADIGAL M.D. (NPI 1679832323) is an individual sleep medicine provider in Gainesville, Florida, licensed in Florida (TRN22253) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1679832323
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NameSUSHEELA HADIGALCredential: M.D.
Location Address4740 NW 39TH PLGainesville, FL 32606-7226
Mailing AddressPo Box 100225 JhmhcGainesville, FL 32610-0225 · (352) 273-8740
Phone(352) 265-5240
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 15, 2012
Last NPPES UpdateMarch 23, 2019
✔ NPI 1679832323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in FL · TRN22253
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125060863 (IL)
4740 NW 39TH PL, Gainesville, FL 32606
Open in Google Maps ↗

Secondary Practice Location 1

Location 12525 S Michigan AveChicago, IL 60616-2333 · Phone (312) 567-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Susheela Hadigal 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 ID7911202940
PECOS Enrollment IDI20191024002843
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.

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.
36 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
19 services19 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
18 services17 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32606 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Referred Medical Equipment & Supplies CMS DME claims 9

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$91.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers16 claims42 services$35.02 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers12 claims72 services$19.88 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers21 claims21 services$56.78 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers20 claims20 services$18.26 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers29 claims29 services$14.64 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 5

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

FLORIDA CLINICAL PRACTICE ASSOCIATION INC
Pediatrics
4740 NW 39TH PL, STE B
GAINESVILLE, FL 32606
Alachua County (352) 594-7337
MRS. LAURA FRAHM OTR/L
Occupational Therapist (Pediatrics)
4740 NW 39TH PL, SUITE D
GAINESVILLE, FL 32606
Alachua County (352) 265-5204
LINDA CORMACK PT
Physical Therapist
4740 NW 39TH PL, SUITE D
GAINESVILLE, FL 32606
Alachua County (352) 265-5200
MRS. GINA JUNG CCC-SLP
Speech-Language Pathologist
4740 NW 39TH PL, SUITE D
GAINESVILLE, FL 32606
Alachua County (352) 265-5204
KIERSTEN ELISE FARRELL DPT
Physical Therapist
4740 NW 39TH PL
GAINESVILLE, FL 32606
Alachua County (352) 265-5200

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 Susheela Hadigal's NPI number?

The NPI number for Susheela Hadigal is 1679832323. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Susheela Hadigal located?

Susheela Hadigal practices at 4740 NW 39th Pl, Gainesville, FL 32606. The listed phone number is (352) 265-5240.

What is Susheela Hadigal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Susheela Hadigal enrolled in Medicare?

Yes. Susheela Hadigal 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 Susheela Hadigal accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Susheela Hadigal 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 Susheela Hadigal affiliated with any hospitals?

According to CMS data, Susheela Hadigal is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Susheela Hadigal was last updated on March 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.