Individual provider Active NPI

Vivek S Sahgal, M.D., FACP

  • Internal Medicine Physician
  • Logansport, IN
National Provider Identifier
1215964127
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01073427A Issued in IN
Practice address
1201 Michigan Ave
Suite 170
Logansport, IN 46947-1580
Phone
(574) 722-4331
Fax
(574) 722-6856
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0426739 KS
Infectious Disease Physician 207RI0200X 112358 MO
Infectious Disease Physician 207RI0200X 01073427A IN
Internal Medicine Physician 207R00000X 01073427A IN Primary

Addresses

Primary practice location

1201 Michigan Ave
Suite 170
Logansport, IN 46947-1580

Mailing address

1201 Michigan Ave
Suite 170
Logansport, IN 46947-1580
Phone (574) 722-4331

Other identifiers 14

IdentifierTypeStateIssuer
1215964127OtherKSUNICARE
243233OtherKSCOVENTRY
25244031OtherMOBCBSKC
P00230613OtherKSMEDICARE RAILROAD
100290230DMedicaidKS
201209650MedicaidIN
209722024MedicaidMO
5188509OtherKSAETNA
104950OtherKSMEDICARE LEAVENWORTH INDIVIDUAL
104950OtherKSBCBSKC
MA1199001OtherMOMEDICARE
121596412OtherMOMOLINA INDIVIDUAL
P01283806OtherINRAILROAD MEDICARE
000000852931OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140318000382 IN Practitioner - Internal Medicine 6507752532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Logansport Hospital IncGroup PAC ID 8921500646, 41 clinicians
Memorial HospitalGroup PAC ID 8123923281, 64 clinicians

Practice addresses (Care Compare)

1025 Michigan Ave
Suite 115
Logansport, IN 46947-1665
Phone (574) 722-3566

1101 Michigan Ave
Loganport, IN 46947-1528
Phone (574) 753-1548

1201 Michigan Ave
Suite 170
Logansport, IN 46947-1585
Phone (574) 722-4331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0426739KSMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Logansport Hospital, Inc. CurrentSince Jan 28, 2014 Accepting new patients
Parkview Logansport Hospital, Inc. CurrentSince Jan 28, 2014 Accepting new patients
Shawnee Mission Medical Center Inc Internal Medicine Past Accepting new patients

Locations

1201 Michigan Ave
Ste 170
Logansport, IN 46947
Phone (574) 722-4331

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1215964127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE",
            "address_2": "SUITE 170",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471580",
            "telephone_number": "574-722-4331",
            "fax_number": "574-722-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE",
            "address_2": "SUITE 170",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471580",
            "telephone_number": "574-722-4331",
            "fax_number": "574-722-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHGAL",
        "first_name": "VIVEK",
        "middle_name": "S",
        "credential": "M.D., FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KS",
            "license": "0426739",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "112358",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01073427A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01073427A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "1215964127",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "243233",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "25244031",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00230613",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100290230D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201209650",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209722024",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5188509",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEAVENWORTH INDIVIDUAL",
            "identifier": "104950",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "104950",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MA1199001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA INDIVIDUAL",
            "identifier": "121596412",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01283806",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000852931",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, IN

Sources for this page

Verify at the official NPI Registry.