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DR. GURBIR S. SEHMBEY M.D.
NPI 1720408560
Internal Medicine - Nephrology in Salt Lake City, UT

Active since April 20, 2014PECOS EnrolledAccepts Medicare Assignment
92.28/100
CMS Quality Rating
30 N 1900 E RM 4R312, SALT LAKE CITY, UT 84132(801) 585-9815 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2017, Aug 29, 2017 (2 updates tracked since 2017).

About Dr. Gurbir S. Sehmbey M.d. NPPES

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

DR. GURBIR S. SEHMBEY M.D. (NPI 1720408560) is an individual nephrology provider in Salt Lake City, Utah, licensed in Utah (12777657-1205) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1720408560
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. GURBIR S. SEHMBEYCredential: M.D.
Location Address30 N 1900 E RM 4R312Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 4r312Salt Lake City, UT 84132-0002 · (801) 585-9815
Phone(801) 585-9815
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 20, 2014
Last NPPES UpdateMarch 30, 20222 updates tracked since enumeration
NPPES CertifiedMarch 30, 2022
✔ NPI 1720408560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in UT · 12777657-1205
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 54523 (AZ)
30 N 1900 E RM 4R312, Salt Lake City, UT 84132
Open in Google Maps ↗

Secondary Practice Location 1

Location 11111 E McDowell RdPhoenix, AZ 85006-2612 · Phone (602) 839-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Dr. Gurbir S. Sehmbey 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 ID9931471505
PECOS Enrollment IDI20170816002247
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

5

Medicare enrollment records show Gurbir Sehmbey reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Physician Specialists Arizona LLC
262 mi
Multi-Specialty
601 N NAVAJO
Page, AZ 86040
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Banner Hospital Based Physicians Arizona LLC
  • 1,081 clinicians in this Medicare group
NPI 1366799355 (928) 645-0131
Leading Healthcare Specialist PLLC
492 mi
Internal Medicine
11295 N 99TH AVE APT 5-122
Peoria, AZ 85345
  • Reassigned Medicare billing, Arizona enrollment
  • 29 clinicians in this Medicare group
NPI 1497390561 (623) 295-1190
Aligned Medical Providers, LLC
492 mi
Family Medicine
9821 N 95TH ST
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 13 clinicians in this Medicare group
NPI 1386267078 (480) 365-8035
Banner - University Hospital Based Physicians LLC
498 mi
General Acute Care Hospital
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 728 clinicians in this Medicare group
NPI 1750751566 (602) 747-4000
Southwest Kidney Institute, Plc
508 mi
Nephrology
2141 E WARNER RD, SUITE 101
Tempe, AZ 85284
  • Reassigned Medicare billing, Arizona enrollment
  • 117 clinicians in this Medicare group
NPI 1659316008 (480) 969-8714

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 4

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
208 services65 patients
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.
153 services49 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

92.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost51.21

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$60.94 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 2

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

MARK N. F. MASSOUD MBCHB
Internal Medicine (Nephrology)
30 N 1900 E RM 4R312
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-8193
AMARA SARWAL MD
Internal Medicine (Nephrology)
30 N 1900 E RM 4R312
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-8193

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 Gurbir Sehmbey's NPI number?

The NPI number for Gurbir Sehmbey is 1720408560. It was assigned to this individual provider in the NPPES registry on April 20, 2014.

Where is Gurbir Sehmbey located?

Gurbir Sehmbey practices at 30 N 1900 E Rm 4r312, Salt Lake City, UT 84132. The listed phone number is (801) 585-9815.

What is Gurbir Sehmbey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Gurbir Sehmbey enrolled in Medicare?

Yes. Gurbir Sehmbey 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 Gurbir Sehmbey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gurbir Sehmbey reassigns Medicare benefits to 5 organizations: Banner Physician Specialists Arizona LLC (Page, AZ), Leading Healthcare Specialist PLLC (Peoria, AZ), Aligned Medical Providers, LLC (Scottsdale, AZ), Banner - University Hospital Based Physicians LLC (Phoenix, AZ) and Southwest Kidney Institute, Plc (Tempe, AZ). 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 Gurbir Sehmbey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gurbir Sehmbey accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Gurbir Sehmbey 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.

When was this NPI record last updated?

The NPPES record for Gurbir Sehmbey was last updated on March 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.