Dr. Sumit Sehgal, MD

  • San Jose, CA
  • Cardiologist
NPI1083956502PAC ID3274755152
Medicare services, 2024
1,595
Medicare patients, 2024
763
Part D claims, 2024
3,578
Publications
11
Hospital affiliations
3
Practice address
751 South Bascom Avenue, San Jose, CA 95128
Practice phone
Call (408) 885-5000
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Santa Clara Valley Medical Center

Hospital · San Jose, California

See all 7 affiliations

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Dr. Sumit Sehgal is a cardiologist in San Jose, California

Dr. Sehgal practices at Santa Clara Valley Medical Center in San Jose, California, part of County of Santa Clara, CA.

Dr. Sehgal's NPI, 1083956502, was assigned on March 22, 2013. Dr. Sehgal graduated from Ross University School of Medicine in 2013. Dr. Sehgal's Iowa license number on file is MD-45758.

NPI and contact details
Medicare PAC ID
3274755152
NPI enumeration date
March 22, 2013
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(408) 885-5000
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
39
Medical school graduation
2013

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Sumit Sehgal practices at Santa Clara Valley Medical Center in San Jose, California

Dr. Sehgal's primary practice is Santa Clara Valley Medical Center, at 751 South Bascom Avenue, San Jose, CA 95128 in Santa Clara County. The practice phone is (408) 885-5000.

Source: Dmand AI Affiliation Data

Dr. Sumit Sehgal is affiliated with 5 sites of care and 2 medical groups

Dr. Sehgal's primary practice is Santa Clara Valley Medical Center in San Jose, California, part of County of Santa Clara, CA. Dr. Sehgal is also affiliated with Good Samaritan Hospital. The medical group on file is County of Santa Clara Behavioral Health Services, Las Plumas Behavioral Health Clinic. Dmand AI also links Dr. Sehgal to 1 more hospital, 1 community health center, 1 group practice or clinic and 1 medical group, each named with a free account.

See all 7 affiliations for Dr. Sehgal

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Sumit Sehgal's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Sehgal practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Santa Clara Valley Medical CenterAvailable with a free account
+4 more sites and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every hospital where Dr. Sehgal practices

Dmand AI maps EHR vendors, IT decision makers and buying committees across County of Santa Clara, CA and 6.2K+ hospitals, with verified contacts in the same login.

Dr. Sumit Sehgal is one of 2,375 cardiologists in California

Cardiovascular disease is Dr. Sehgal's primary specialty in the NPI Registry, under taxonomy code 207RC0000X. Dr. Sehgal is board certified in cardiovascular disease by the American Board of Internal Medicine. Dmand AI has Dr. Sehgal's licenses on file in 3 states: Iowa, California and Nevada.

Specialties and state licenses

  • Cardiovascular disease, IowaPrimaryLicense MD-45758 · 2018 to 2025 · taxonomy 207RC0000X
  • California license2015 to 2027
  • Nevada license2013 to 2019

Cardiologists near Dr. Sehgal

Counts of cardiologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Sumit Sehgal billed Medicare for 1,595 services in 2024

CMS data shows 1,595 Medicare services from Dr. Sehgal across 20 procedure codes in 2024, for 763 Medicare patients. Medicare paid $84,980 for them.

Medicare services, 20241,595
Medicare patients763
Paid by Medicare$84,980
Procedure codes20

Dr. Sehgal's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Tests and treatments
2023: 1,6822024: 65161%
Office and hospital visits
2023: 1,3742024: 40071%
Other services
2023: 1,5702024: 35178%
Drugs given in the office
2023: 4762024: 14869%
Imaging
2023: 1612024: 4572%
Lab and pathology
2023: 872024: 0100%

Where Dr. Sehgal's Medicare services took place, 2024

  • In an office1,12070%
  • In a facility47530%

Dr. Sehgal compared with the California median for cardiologists, 2024

  • Dr. Sehgal
  • California median
Medicare services
1,595vs 1,560Close to median
Medicare patients
763vs 64418% above
Part D claims
3,355vs 1,4102.4 times

Medians across 2,237 cardiologists in California with Dmand AI profiles that report each measure.

Dr. Sehgal's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Sehgal

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Sumit Sehgal treated 763 Medicare patients in 2024, average age 77

CMS counts 763 Medicare patients who saw Dr. Sehgal in 2024. The largest group is 65 to 74, with 284 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 23% are also on Medicaid. Their average risk score is 1.75, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Sehgal's median patient age at 69, with 55% women.

Medicare patients, 2024763
Average age77
Average risk score1.75
Also on Medicaid23%

Dr. Sehgal's Medicare patients by age, 2024

Dr. Sehgal's Medicare patients by sex, 2024

  • Women38350%
  • Men38050%

Chronic conditions among Dr. Sehgal's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Ischemic heart disease48%
  4. Atrial fibrillation47%
  5. Heart failure44%
  6. Arthritis43%
  7. Diabetes40%
  8. Chronic kidney disease39%

Share of Medicare patients with each condition. A patient can have several.

Dr. Sehgal's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 69

Patient panel by sex, all payers

  • Women55%
  • Men45%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Sumit Sehgal wrote 3,578 Medicare Part D claims in 2024

In 2024, Dr. Sehgal wrote 3,578 Medicare Part D claims for 868 patients. 86% of them were for generic drugs. CMS names the drug for 3,355 of them, across 42 drugs with 11 or more claims each, at $380,977 in total drug cost. In 2023, CMS named 6,616 claims across 55 drugs.

Part D claims, 20243,578
Drugs named by CMS42
Total drug cost$380,977
Part D patients868

Dr. Sehgal's Part D claims by kind of drug, 2024

  • Generic3,078 claims86%
  • Brand-name500 claims14%

Dr. Sehgal's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 6,6162024: 3,35549%

Drugs named by CMS: 42 in 2024, 55 in 2023.

See all prescribing by Dr. Sehgal

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

How Dr. Sumit Sehgal takes part in Medicare

Dr. Sehgal accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Sumit Sehgal has 11 publications on record

Dmand AI links 11 papers to Dr. Sehgal, published from 2019 to 2025. 2023 was the busiest year, with 4. Dr. Sehgal has published most often in Indian Dermatol Online J. Dr. Sehgal's most frequent co-authors are Jason S. Dazley, MD and Awad Javaid, MD.

Papers11
Years published2019 to 2025

Dr. Sehgal's papers by year, 2019 to 2025

Dr. Sehgal's most frequent co-authors

Recent publications by Dr. Sehgal

See all 11 publications and co-authors

See who Dr. Sehgal researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Sehgal works with, so you can find a warm path to the right cardiologists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Sumit Sehgal received $4,645 in industry payments from 2016 to 2025

CMS Open Payments shows 63 general payments to Dr. Sehgal from 16 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 87% of the total. Abbott Laboratories paid the most, $2,101.

General payments to Dr. Sehgal by program year, 2016 to 2025

General payments to Dr. Sehgal by kind, 2016 to 2025

$4.6Kin total
  • Food and beverage$4,03787%
  • Travel and lodging$4319%
  • Education$1764%

Companies that paid Dr. Sehgal the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Sehgal

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Sumit Sehgal graduated from Ross University School of Medicine

Dr. Sehgal graduated from Ross University School of Medicine in 2013.

  1. Medical schoolRoss University School of Medicine
  2. Board certified in cardiovascular diseaseAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Sumit Sehgal accepts plans from 9 insurance carriers

Dr. Sehgal is in network with 9 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 7. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Blue Cross and Blue Shield of Kansas City
  • CMS Medicare
  • +1 more carriersWith a free account

Plan types Dr. Sehgal accepts, by number of carriers

  1. Medicare7
  2. PPO6
  3. HMO3
  4. POS3
  5. EPO2
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Sumit Sehgal's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Sumit Sehgal

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Sumit Sehgal's NPI number?

Dr. Sumit Sehgal's NPI number is 1083956502. It was assigned on March 22, 2013, and it is active in the NPI Registry.

What kind of doctor is Dr. Sumit Sehgal?

Dr. Sumit Sehgal is a cardiologist in San Jose, California. The primary specialty in the NPI Registry is Cardiovascular Disease Physician (taxonomy code 207RC0000X).

Where does Dr. Sumit Sehgal practice?

Dr. Sehgal practices at 751 South Bascom Avenue, San Jose, CA 95128. Dr. Sehgal's primary practice is Santa Clara Valley Medical Center in San Jose, California, part of County of Santa Clara, CA. Dmand AI also links Dr. Sehgal to 1 hospital, 1 community health center, 1 group practice or clinic and 1 medical group.

What is Dr. Sumit Sehgal's office phone number?

The practice phone on file for Dr. Sehgal is (408) 885-5000.

What is Dr. Sumit Sehgal's medical license number?

Dr. Sehgal's Iowa license number on file is MD-45758, one of the licenses on file in 3 states.

Which states has Dr. Sumit Sehgal been licensed in?

Dmand AI has state licenses on file for Dr. Sehgal in Iowa (2018 to 2025), California (2015 to 2027) and Nevada (2013 to 2019).

Which hospitals is Dr. Sumit Sehgal affiliated with?

Dr. Sehgal practices at Santa Clara Valley Medical Center in San Jose, California. Dr. Sehgal is also affiliated with Good Samaritan Hospital. Dmand AI links Dr. Sehgal to 1 more hospital.

What medical group is Dr. Sumit Sehgal part of?

Dr. Sehgal is linked to County of Santa Clara Behavioral Health Services, Las Plumas Behavioral Health Clinic. Dmand AI links Dr. Sehgal to 1 more medical group.

Does Dr. Sumit Sehgal accept Medicare?

Yes. CMS data shows Dr. Sehgal billed Medicare for 1,595 services in 2024, and Dr. Sehgal accepts Medicare assignment.

How many Medicare patients does Dr. Sumit Sehgal see?

CMS counts 763 Medicare patients who saw Dr. Sehgal in 2024, with an average age of 77.

Show 9 more questionsShow fewer questions

Is Dr. Sumit Sehgal board certified?

Yes. Dr. Sehgal is board certified in cardiovascular disease by the American Board of Internal Medicine.

What services does Dr. Sumit Sehgal bill to Medicare?

In 2024, Dr. Sehgal's most billed Medicare services were heart test or procedure (93306), office visit, established patient (99213) and injected or infused drug (J2785).

Where did Dr. Sumit Sehgal go to medical school?

Dr. Sehgal graduated from Ross University School of Medicine in 2013.

What drugs does Dr. Sumit Sehgal prescribe most?

In 2024 Medicare Part D data, Dr. Sehgal's most prescribed drugs by claims were Metoprolol Succinate, Atorvastatin Calcium and Eliquis.

Has Dr. Sumit Sehgal received payments from drug or device companies?

CMS Open Payments shows $4,645 in general payments to Dr. Sehgal from 16 companies from 2016 to 2025. The largest total came from Abbott Laboratories.

How long has Dr. Sumit Sehgal been practicing?

Dr. Sehgal graduated from medical school in 2013, 13 years ago.

Does Dr. Sumit Sehgal do research?

Dmand AI links 11 publications to Dr. Sehgal, published from 2019 to 2025.

Who does Dr. Sumit Sehgal publish with?

Dr. Sehgal's most frequent co-authors are Jason S. Dazley, MD (1 shared paper) and Awad Javaid, MD (1 shared paper).

What insurance does Dr. Sumit Sehgal accept?

Dr. Sehgal is in network with 9 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. Medicare plans come from the most carriers, 7. Check the plan with the practice before a visit.

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