Sanjay R Hegde, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

247933 Issued in MA

Practice address

955 Main St
Suite 206
Winchester, MA 01890-1961

Phone

(781) 729-5855

Fax

(781) 721-5891

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Gastroenterology

Education

Tufts University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Digestive Health Associates P.C.Group PAC ID 8527017268, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winchester Hospital Hospital, Winchester, MA, CCN 220105
• Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

Merit-based Incentive Payment System (MIPS)

Final score

82.95 of 100Reported as group

Quality

73.22

Promoting interoperability

93

Improvement activities

40

Cost

75.79

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sanjayhegde@digestiveh.allscriptsdirect.net

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.

• Digestive Health Associates P.C.

  • Gastroenterology Physician
  • Winchester, MA
  • NPI 1912941733
  Medicare reassignment Care Compare group NPD
• Dha Pho-W LLC

  • Gastroenterology Physician
  • Stoneham, MA
  • NPI 1962973131
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Health Services of Fox Chase Cancer Center

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1144338351
  NPD (past)
• Health Services of Fox Chase Cancer Center

  • Gynecologic Oncology Physician
  • Philadelphia, PA
  • NPI 1568564821
  NPD (past)

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

• Lahey Clinic Hospital, Inc.

  • General Acute Care Hospital
  • Burlington, MA
  • NPI 1558392563
  Care Compare affiliation
• Winchester Hospital

  • General Acute Care Hospital
  • Winchester, MA
  • NPI 1790740777
  Care Compare affiliation

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1881756179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 MAIN ST STE 206",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018904302",
            "telephone_number": "781-729-5855",
            "fax_number": "781-721-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MAIN ST",
            "address_2": "SUITE 206",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901961",
            "telephone_number": "781-729-5855",
            "fax_number": "781-721-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGDE",
        "first_name": "SANJAY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MT183245",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D69588",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "247933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418373800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD - REGIONAL",
            "identifier": "S062-0364",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "954004-01 & 02",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Judith Harrington, DMD
• Laura G Harris, M.D.
• Khalid I. a. Hassan, M.D.
• Suzanne Hawkins, LICSW
• Healthspan Group LLC
• Shahrouz Hekmatpour, M.D.
• Sophana Hem, DMD
• Maureen Shea Hennessy, CRNA
• Mary Elizabeth Herbert, R.D.
• Edwin Hernandez, M.D.

• Gastroenterology Physician in Winchester, MA
• Providers in Winchester, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.