Individual provider Active NPI

Ajay Sehgal, M.D.

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1720251903
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301099951 Issued in MI
Practice address
8701 W Watertown Plank Rd
Psychiatry Department, Tosa Center
Milwaukee, WI 53226-3548
Phone
(414) 955-8990
NPI assigned
Apr 8, 2008
Last updated
Dec 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301099951 MI Primary
General Practice Physician 208D00000X 53553020 WI

Addresses

Primary practice location

8701 W Watertown Plank Rd
Psychiatry Department, Tosa Center
Milwaukee, WI 53226-3548

Mailing address

8701 W Watertown Plank Rd
Psychiatry Department, Tosa Center
Milwaukee, WI 53226-3548

Other names 1

  • Dr. Ajay Sehgal Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121206000094 MI Practitioner - Psychiatry 3971638156 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53553020WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Psychiatry Current Accepting new patients
State of Michigan Office of Financial Management CurrentSince Mar 18, 2016 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Mar 18, 2016 Accepting new patients
State of Michigan Office of Financial Management PastSince Mar 18, 2016 Accepting new patients

Locations

2000 Chambers Rd
Caro, MI 48723
Phone (517) 673-3191

2040 Chambers Rd
Caro, MI 48723
Phone (989) 672-9338

30901 Palmer Rd
Westland, MI 48186
Phone (734) 367-8400

Interoperability endpoints

  • Direct secure messaging: ajaysehgal@tdh.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1720251903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 W WATERTOWN PLANK RD",
            "address_2": "PSYCHIATRY DEPARTMENT, TOSA CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 W WATERTOWN PLANK RD",
            "address_2": "PSYCHIATRY DEPARTMENT, TOSA CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263548",
            "telephone_number": "414-955-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEHGAL",
        "first_name": "AJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-08",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301099951",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "53553020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJAY",
            "last_name": "SEHGAL",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.