RISHI SAWHNEY M.D.
NPI 1750346698
Internal Medicine - Medical Oncology in Dover, DE

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
640 S STATE ST FL 2, DOVER, DE 19901(302) 744-7994(302) 744-7993 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2024, Mar 7, 2023 (2 updates tracked since 2023).

About Rishi Sawhney M.d. NPPES

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

RISHI SAWHNEY M.D. (NPI 1750346698) is an individual medical oncology provider in Dover, Delaware, licensed in Delaware (C10007983) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1750346698
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameRISHI SAWHNEYCredential: M.D.
Location Address640 S STATE ST FL 2Dover, DE 19901-3530
Mailing Address640 S. State Street, Mail Code 3055Dover, DE 19901-3530 · (302) 480-1688 · Fax (302) 480-9807
Fax(302) 744-7993
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 20, 2006
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1750346698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in DE · C10007983
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License C10007983 (DE)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License C10007983 (DE)
640 S STATE ST FL 2, Dover, DE 19901

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

Rishi Sawhney 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 ID547273252
PECOS Enrollment IDI20060809000483
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 11

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.
1,069 services497 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
206 services165 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.
127 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
81 services74 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.
42 services42 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
37 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$173.08 typical visit price
range $57.12 – $173.08
Typical copayment $43.27 (range $14.28 – $43.27)
Most-billed visit code 99205
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers29 claims2,332 services$0.73 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers27 claims27 services$11.87 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 13

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

Nurse Practitioner
640 S STATE ST FL 2
DOVER, DE 19901
Nurse Practitioner
640 S STATE ST FL 2
DOVER, DE 19901
Nurse Practitioner
640 S STATE ST FL 2
DOVER, DE 19901
Surgery
640 S STATE ST FL 2
DOVER, DE 19901
Nurse Practitioner
640 S STATE ST FL 2
DOVER, DE 19901
Internal Medicine (Medical Oncology)
640 S STATE ST FL 2
DOVER, DE 19901
Internal Medicine (Hematology)
640 S STATE ST FL 2
DOVER, DE 19901
Internal Medicine (Hematology)
640 S STATE ST FL 2
DOVER, DE 19901

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 Rishi Sawhney's NPI number?

The NPI number for Rishi Sawhney is 1750346698. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Rishi Sawhney located?

Rishi Sawhney practices at 640 S State St Fl 2, Dover, DE 19901. The listed phone number is (302) 744-7994.

What is Rishi Sawhney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Rishi Sawhney enrolled in Medicare?

Yes. Rishi Sawhney 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 Rishi Sawhney accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Rishi Sawhney 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 Rishi Sawhney was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.