Individual provider Active NPI

Kishore Sehgal, M.D.

  • Hematology & Oncology Physician
  • Hemet, CA
National Provider Identifier
1689671034
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A42484 Issued in CA
Practice address
301 N San Jacinto St
Hemet, CA 92543-3113
Phone
(951) 766-6460
Fax
(951) 766-6459
NPI assigned
Jun 30, 2005
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A42484 CA
Hematology & Oncology Physician 207RH0003X A42484 CA Primary

Addresses

Primary practice location

301 N San Jacinto St
Hemet, CA 92543-3113

Mailing address

40229 Donomore CT
Temecula, CA 92591-1611
Phone (951) 695-2648

Other identifiers 10

IdentifierTypeStateIssuer
1457545840OtherCAMEDICARE PART B DME
1558555938OtherCAMEDICARE PART B DME
1962696344OtherCAMEDICARE PART B DME
00A424840MedicaidCA
05D1062719OtherCACLIA NUMBER
5945420001OtherCAMEDICARE PART D DME
5945420002OtherCAMEDICARE PART D DME
5945420004OtherCAMEDICARE PART D DME
1225222029OtherCAMEDICARE PART B DME
5945420003OtherCAMEDICARE PART D DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080701000525 CA Practitioner - Hematology/Oncology 5193897486

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 N San Jacinto St
Hemet, CA 92543-3119

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42484CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ksehgal182130@direct.llu.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1689671034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40229 DONOMORE CT",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925911611",
            "telephone_number": "951-695-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433113",
            "telephone_number": "951-766-6460",
            "fax_number": "951-766-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHGAL",
        "first_name": "KISHORE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A42484",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A42484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B DME",
            "identifier": "1457545840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B DME",
            "identifier": "1558555938",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B DME",
            "identifier": "1962696344",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A424840",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "05D1062719",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART D DME",
            "identifier": "5945420001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART D DME",
            "identifier": "5945420002",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART D DME",
            "identifier": "5945420004",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B DME",
            "identifier": "1225222029",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART D DME",
            "identifier": "5945420003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.