DR. SAGHAR SUSAN HEDAYATI M.D., M.H.S.
Accepted Insurance for NPI 1982784708
Internal Medicine - Nephrology in Dallas, TX

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
UNIVERSITY OF TEXAS SOUTHWESTERN 5959 HARRY HINES BLVD, DALLAS, TX 75390(214) 645-6106 Get Directions

NPPES record last updated: April 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

DR. SAGHAR SUSAN HEDAYATI M.D., M.H.S., a internal medicine provider in Dallas, TX, is listed as in-network for 72 health insurance plans from Blue Cross and Blue Shield of Texas. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
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Insurance Company
72
Plan Options
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Network Type
6 plans · 72 plan IDs · 2026 plan year

Blue Cross and Blue Shield of Texas

6 plans · Individual market · listed as Myblue Health

MyBlue Health Bronze? 402

BronzeHMO
Plan IDs33602TX046108033602TX046111633602TX046111733602TX046111833602TX046111933602TX046112033602TX046112133602TX046112233602TX046117933602TX046119633602TX046119733602TX046121033602TX0461211

MyBlue Health Bronze? Standard

BronzeHMO
Plan IDs33602TX046108733602TX046115933602TX046116033602TX046116133602TX046116333602TX046116433602TX046118533602TX046119833602TX046119933602TX046121233602TX0461213

MyBlue Health Gold? 403

GoldHMO
Plan IDs33602TX046108133602TX046112333602TX046112433602TX046112533602TX046112633602TX046112733602TX046112833602TX046112933602TX046118033602TX046120033602TX046120133602TX046121433602TX0461215

MyBlue Health Gold? Standard

GoldHMO
Plan IDs33602TX046108833602TX046116633602TX046116733602TX046116833602TX046117033602TX046117133602TX046118633602TX046120233602TX046120333602TX046121633602TX0461217

MyBlue Health Silver? 405

SilverHMO
Plan IDs33602TX046108233602TX046113033602TX046113133602TX046113233602TX046113333602TX046113433602TX046113533602TX046113633602TX046118133602TX046120433602TX046120533602TX046121833602TX0461219

MyBlue Health Silver? Standard

SilverHMO
Plan IDs33602TX046108933602TX046117333602TX046117433602TX046117533602TX046117733602TX046117833602TX046118733602TX046120833602TX046120933602TX046122233602TX0461223
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Coverage Questions FAQs

Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.

What insurance does DR. SAGHAR SUSAN HEDAYATI M.D., M.H.S. accept?

Marketplace files for the 2026 plan year list DR. SAGHAR SUSAN HEDAYATI M.D., M.H.S. as in-network for 72 plans from Blue Cross and Blue Shield of Texas. The full list above shows each plan's metal level, network type, and plan IDs.

Is DR. SAGHAR SUSAN HEDAYATI M.D., M.H.S. enrolled in Medicare?

Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.

What network types does DR. SAGHAR SUSAN HEDAYATI M.D., M.H.S. participate in?

The accepted plans include 6 HMO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.

Where does this insurance data come from and how current is it?

Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.