GAGAN KUMAR SOOD MBBS
NPI 1942369343
Internal Medicine - Gastroenterology in Houston, TX

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
7200 CAMBRIDGE ST FL 10, HOUSTON, TX 77030(713) 798-1750 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2024, Jul 10, 2023 (2 updates tracked since 2023).

About Gagan Kumar Sood Mbbs NPPES

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

GAGAN KUMAR SOOD MBBS (NPI 1942369343) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (M2121) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1942369343
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameGAGAN KUMAR SOODCredential: MBBS
Location Address7200 CAMBRIDGE ST FL 10Houston, TX 77030-4202
Mailing Address6620 Main St Ste 1425Houston, TX 77030-2342 · (832) 561-5015 · Fax (713) 798-8488
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 8, 2006
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
NPI 1942369343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TX · M2121
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSurgeryTaxonomy 208600000X · License M2121 (TX)
7200 CAMBRIDGE ST FL 10, Houston, TX 77030

Other Identifiers 1

Medicaid171265501TX

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

Gagan Kumar Sood Mbbs 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 ID8628967411
PECOS Enrollment IDI20050215001101
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 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.
41 services21 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.
37 services26 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.
29 services26 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

Psychiatry & Neurology (Neurology)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Transplant Surgery
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Surgery (Surgical Oncology)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Anesthetist, Certified Registered
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Hospitalist
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030
Nurse Practitioner (Critical Care Medicine)
7200 CAMBRIDGE ST FL 10
HOUSTON, TX 77030

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 Gagan Sood's NPI number?

The NPI number for Gagan Sood is 1942369343. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Gagan Sood located?

Gagan Sood practices at 7200 Cambridge St Fl 10, Houston, TX 77030. The listed phone number is (713) 798-1750.

What is Gagan Sood's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Gagan Sood enrolled in Medicare?

Yes. Gagan Sood 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 Gagan Sood accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Gagan Sood 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 Gagan Sood affiliated with any hospitals?

According to CMS data, Gagan Sood is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and St Luke's The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Gagan Sood was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.