Active NPI
Avisesh Sahgal, MD
- Surgery Physician
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101234860
- Practice address
- 12005 Sunrise Valley Drive, Suite 120
Reston, VA 20191-3469 - Phone
- (571) 375-7174
- Fax
- (571) 375-7177
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 0101234860 | VA | |
| Surgery Physician | 208600000X | 0101234860 | VA | Primary |
Addresses
Primary practice location
12005 Sunrise Valley Drive, Suite 120
Reston, VA 20191-3469
Mailing address
224-D Cornwall Street, NW, Suite 403
Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902862261 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Northeastern Ohio University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12005 Sunrise Valley Dr
Suite 120
Reston, VA 20191-3469
Phone (571) 375-7174
Hospital & facility affiliations
- Reston Hospital Center
- Inova Loudoun Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.65 of 100
- Quality
- 85.31
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 48 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101234860 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Loudoun Medical Group, PC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001
12005 Sunrise Valley Dr
Ste 120
Reston, VA 20191
Phone (571) 375-7174
Interoperability endpoints
- avisesh.sahgal@lmg1.eclinicaldirectplus.com
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.
-
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Reston, VA
- NPI 1407908817
DC
-
- Urology Physician
- Reston, VA
- NPI 1730203142
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1902862261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224-D CORNWALL STREET, NW, SUITE 403",
"address_2": "STE 403",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762704",
"telephone_number": "703-737-6010",
"fax_number": "703-448-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12005 SUNRISE VALLEY DRIVE, SUITE 120",
"city": "RESTON",
"state": "VA",
"postal_code": "201913469",
"telephone_number": "571-375-7174",
"fax_number": "571-375-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHGAL",
"first_name": "AVISESH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "VA",
"license": "0101234860",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101234860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902862261",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.