Sanjay R Hegde, MD - Medicare Gastroenterology in Winchester, MA

Sanjay R Hegde, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Winchester, Massachusetts. He went to Tufts University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Digestive Health Associates P.c. and his current practice location is 955 Main St, Suite 206, Winchester, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 729-5855.

Sanjay R Hegde is licensed to practice in Massachusetts (license number 247933) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881756179.

Contact Information

Sanjay R Hegde, MD
955 Main St, Suite 206,
Winchester, MA 01890-1961
(781) 729-5855
(781) 721-5891

Map and Direction




Physician's Profile

Full NameSanjay R Hegde
GenderMale
SpecialityGastroenterology
Experience23 Years
Location955 Main St, Winchester, Massachusetts
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sanjay R Hegde attended and graduated from Tufts University School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1881756179
  • Provider Enumeration Date: 12/14/2006
  • Last Update Date: 09/09/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8628149861
  • Enrollment ID: I20110924000003

Medical Identifiers

Medical identifiers for Sanjay R Hegde such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881756179NPI-NPPES
418373800MedicaidMD
S062-0364OtherMDBLUE CROSS/BLUE SHIELD - REGIONAL
954004-01 & 02OtherMDBLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MT183245 (Pennsylvania)Secondary
207RG0100XInternal Medicine - Gastroenterology D69588 (Maryland)Secondary
207RG0100XInternal Medicine - Gastroenterology 247933 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winchester HospitalWinchester, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Digestive Health Associates P.c.85270172688

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sanjay R Hegde allows following entities to bill medicare on his behalf.
Entity NameDigestive Health Associates P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912941733
PECOS PAC ID: 8527017268
Enrollment ID: O20050119001023

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sanjay R Hegde is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sanjay R Hegde, MD
955 Main St Ste 206,
Winchester, MA 01890-4302

Ph: (781) 729-5855
Sanjay R Hegde, MD
955 Main St, Suite 206,
Winchester, MA 01890-1961

Ph: (781) 729-5855

Reviews and Comments


Internal Medicine Doctors in Winchester, MA

Ms. Chirin Al Dalati, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 41 Highland Ave, Winchester, MA 01890
Phone: 781-729-9000    
Dr. Mohamed Mahmoud, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 41 Highland Ave, Winchester, MA 01890
Phone: 781-756-7095    
Dr. Saritha Bolla, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 620 Washington Street, Winchester, MA 01890
Phone: 781-756-5000    Fax: 781-756-8380
John E Copanos, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 41 Highland Ave, Winchester, MA 01890
Phone: 781-756-7095    
Dr. Brian Vogel, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 17a Park Ave, Winchester, MA 01890
Phone: 617-515-1338    
William Moore Vanneman, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 955 Main St, Winchester, MA 01890
Phone: 781-729-5855    Fax: 781-721-5891
Annie Lin Parker, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 41 Highland Ave, Lahey At Winchester Hospital, Winchester, MA 01890
Phone: 781-756-2260    Fax: 781-756-2973

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.