SUMIT SEHGAL (M.D.) – Cardiovascular Disease Physician, NPI 1083956502
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
324 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IA
Provider Addresses for SUMIT SEHGAL (M.D.)
800 KENYON RD
FORT DODGE, IA 505015776
Phone: (515) 574-6840
Fax: (515) 576-7726
Type: Location
PO BOX 9170
DES MOINES, IA 503069170
Phone: (515) 633-3600
Fax: (515) 633-3838
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Amgen Inc. ($21).
Total Amount
$46
General + Research + Ownership
Payments
3
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $21 |
| E.R. Squibb & Sons, L.L.C. | $20 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $5 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-25
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190711002481 | I | Cardiovascular Disease (Cardiology) | IA | TBD |
| I20240425003677 | I | Cardiovascular Disease (Cardiology) | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 751 | 607 | $0 |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the | 580 | 75 | $0 |
| G0250 | Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent | 579 | 75 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 489 | 441 | $0 |
| J2785 | Injection, regadenoson, 0.1 mg | 476 | 119 | $0 |
Insurance plans in this area (ZIP 50501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Clinical Psychologist | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Gastroenterology | CA | |
| - | CA | |
| Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine, Hospitalist | PA | |
| - | CA | |
| Certified Registered Nurse Anesthetist (Crna) | CA |
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