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DR. RAJNEESH SEHGAL M.D.
NPI 1881790822
Radiology - Diagnostic Radiology in Gainesville, GA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
87.25/100
CMS Quality Rating
200 W ACADEMY ST NW, GAINESVILLE, GA 30501(770) 282-8820 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 21, 2022, Nov 10, 2016 (2 updates tracked since 2016).

About Dr. Rajneesh Sehgal M.d. NPPES

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

DR. RAJNEESH SEHGAL M.D. (NPI 1881790822) is an individual diagnostic radiology provider in Gainesville, Georgia, licensed in Georgia (052094) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Stone Mountain.

NPPES Registry Identity

NPI1881790822
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. RAJNEESH SEHGALCredential: M.D.
Location Address200 W ACADEMY ST NWGainesville, GA 30501-8568
Mailing Address5118 Stratmor CtStone Mountain, GA 30087-1148 · (678) 362-5202
Phone(770) 282-8820
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJanuary 21, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 21, 2022
✔ NPI 1881790822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 052094
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
200 W ACADEMY ST NW, Gainesville, GA 30501
Open in Google Maps ↗

Secondary Practice Location 1

Location 15118 Stratmor CtStone Mountain, GA 30087-1148 · Phone (678) 362-5202

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Rajneesh 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 ID2264346113
PECOS Enrollment IDI20031117000060
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 Rajneesh Sehgal reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gainesville Radiology Group, PC
Same address
Diagnostic Radiology
200 W ACADEMY STREET
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 43 clinicians in this Medicare group
NPI 1922037605 (770) 282-8820
Northside Radiology Associates LLC
40 mi
Diagnostic Radiology
1000 JOHNSON FERRY RD
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 241 clinicians in this Medicare group
NPI 1013960657 (404) 662-2438
South Atlanta Radiology Associates, P.C.
60 mi
Diagnostic Radiology
119 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1811949720 (770) 991-1010
Columbus Diagnostic Center Inc
136 mi
Diagnostic Radiology
7500 VETERANS PKWY STE B
Columbus, GA 31909
  • Reassigned Medicare billing, Georgia enrollment
  • 58 clinicians in this Medicare group
NPI 1598081093 (706) 323-7622
Bridgeway Diagnostic Radiology
141 mi
Diagnostic Radiology
5007 SUMMERVILLE ROAD
Phenix City, AL 36867
  • Reassigned Medicare billing, Alabama enrollment
  • 17 clinicians in this Medicare group
NPI 1306248729 (334) 408-2854

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 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.

Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
129 services129 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
61 services60 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
17 services17 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
15 services15 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

87.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

DR. DAVID S BAILEY ED.D., ABPP
Psychologist (Clinical)
200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501
Hall County (770) 535-1284
DR. PATRICIA A MCCOY PH.D.
Psychologist (Clinical)
200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501
Hall County (770) 535-1284
DR. HONG NGOC TRAN MD
Radiology (Diagnostic Radiology)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820
TONY MIHIR GHODADRA M.D.
Radiology (Diagnostic Radiology)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820
CHARLOTTE BOBBITT FNP-C
Nurse Practitioner (Family)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820
GAURI R KHORJEKAR MD
Radiology (Diagnostic Radiology)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820
MR. JOHN BRIAN DUTEAU PA
Physician Assistant (Medical)
200 W ACADEMY ST NW
GAINESVILLE, GA 30501
Hall County (770) 282-8820
DR. JANICE R HUGHES PHD
Psychologist (Clinical)
200 W ACADEMY ST NW, SUITE A
GAINESVILLE, GA 30501
Hall County (770) 535-1284

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 Rajneesh Sehgal's NPI number?

The NPI number for Rajneesh Sehgal is 1881790822. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Rajneesh Sehgal located?

Rajneesh Sehgal practices at 200 W Academy St NW, Gainesville, GA 30501. The listed phone number is (770) 282-8820.

What is Rajneesh Sehgal's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Rajneesh Sehgal enrolled in Medicare?

Yes. Rajneesh 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.

Which organizations bill Medicare for Rajneesh Sehgal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajneesh Sehgal reassigns Medicare benefits to 5 organizations: Gainesville Radiology Group, PC (Gainesville, GA), Northside Radiology Associates LLC (Atlanta, GA), South Atlanta Radiology Associates, P.C. (Riverdale, GA), Columbus Diagnostic Center Inc (Columbus, GA) and Bridgeway Diagnostic Radiology (Phenix City, AL). 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 Rajneesh Sehgal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajneesh Sehgal accept?

Health plans from Oscar Health list Rajneesh 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 Rajneesh Sehgal affiliated with any hospitals?

According to CMS data, Rajneesh Sehgal is affiliated with Northeast Georgia Medical Center, Inc, Piedmont Columbus Regional Midtown and Piedmont Columbus Regional Northside.

When was this NPI record last updated?

The NPPES record for Rajneesh Sehgal was last updated on January 21, 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.