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DR. EVAN D SEHGAL MD
NPI 1982671871
Internal Medicine - Interventional Cardiology in Hasbrouck Heights, NJ

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
777 TERRACE AVE, 3RD FLOOR, HASBROUCK HEIGHTS, NJ 07604(201) 288-4252(201) 288-7172 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Evan D Sehgal Md NPPES

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

DR. EVAN D SEHGAL MD (NPI 1982671871) is an individual interventional cardiology provider in Hasbrouck Heights, New Jersey, licensed in New Jersey (25MA05135000) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Columbia University College Of Physicians And Surgeons (1982).

NPPES Registry Identity

NPI1982671871
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. EVAN D SEHGALCredential: MD
Location Address777 TERRACE AVE, 3RD FLOORHasbrouck Heights, NJ 07604-3110
Mailing Address777 Terrace Ave, 3rd FloorHasbrouck Heights, NJ 07604-3110 · (201) 288-4252 · Fax (201) 288-7172
Phone(201) 288-4252
Fax(201) 288-7172
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1982
Enumeration DateMarch 1, 2006
Last NPPES UpdateJanuary 8, 2015
✔ NPI 1982671871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in NJ · 25MA05135000
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA05135000 (NJ)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25MA05135000 (NJ)
777 TERRACE AVE, Hasbrouck Heights, NJ 07604
Open in Google Maps ↗

Other Identifiers 3

Other222970871NJ · Tax Id#
Medicare ID-Type Unspecified419618NJ · Medicare Group #
Medicare UPINA63162NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Evan D Sehgal Md 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 ID9032390091
PECOS Enrollment IDI20110223000947
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 Reassignment

Medicare enrollment records show Evan Sehgal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medical Associates Of Englewood, PC
5.4 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136

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 9

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.
854 services493 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
798 services539 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.
312 services253 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.
72 services72 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 services31 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.
33 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07604 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
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.

MRS. ANNE R LIEBERMAN LCSW
Social Worker (Clinical)
777 TERRACE AVE, ADVISORS CAPITAL MANAGEMENT
HASBROUCK HEIGHTS, NJ 07604
Bergen County (201) 315-2399
DR. LANE J BENOFF MD
Internal Medicine (Cardiovascular Disease)
777 TERRACE AVE, 3RD FLOOR
HASBROUCK HEIGHTS, NJ 07604
Bergen County (201) 288-4252
CARDIOVASCULAR CONSULTANTS OF NORTH JERSEY
Internal Medicine (Cardiovascular Disease)
777 TERRACE AVE, SUITE 311
HASBROUCK HEIGHTS, NJ 07604
Bergen County (201) 288-4252
ADEYEMI ONAFOWOKAN LAC
Counselor (Mental Health)
777 TERRACE AVE
HASBROUCK HEIGHTS, NJ 07604
Bergen County (201) 699-0508
DENISE PATRIACO APN
Nurse Practitioner (Family)
777 TERRACE AVE
HASBROUCK HEIGHTS, NJ 07604
Bergen County (201) 288-2391
MOVE PHYSICAL THERAPY
Physical Therapist
777 TERRACE AVE
HASBROUCK HGTS, NJ 07604
Bergen County (201) 393-9038
DR. JOHN PETKANAS DDS
Dentist
777 TERRACE AVE, SUITE 302
HASBROUCK HEIGHTS, NJ 07604
Bergen County (201) 703-0100
ESOTERIX GENETIC LABORATORIES, LLC
Clinical Medical Laboratory
777 TERRACE AVE
HASBROUCK HEIGHTS, NJ 07604
Bergen County (201) 566-9288

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 Evan Sehgal's NPI number?

The NPI number for Evan Sehgal is 1982671871. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Evan Sehgal located?

Evan Sehgal practices at 777 Terrace Ave 3rd Floor, Hasbrouck Heights, NJ 07604. The listed phone number is (201) 288-4252.

What is Evan Sehgal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Evan Sehgal enrolled in Medicare?

Yes. Evan 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 organization bills Medicare for Evan Sehgal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Sehgal reassigns Medicare benefits to Medical Associates Of Englewood, PC (Englewood, NJ). The 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 Evan Sehgal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Sehgal accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Evan 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 Evan Sehgal affiliated with any hospitals?

According to CMS data, Evan Sehgal is affiliated with Hackensack University Medical Center, Valley Hospital and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Evan Sehgal was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.