Sandeep Duggal, MD - Medicare Emergency Medicine in Houston, TX

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Sandeep Duggal, MD is a medicare enrolled "Emergency Medicine" physician in Houston, Texas. He went to New York Medical College and graduated in 1999 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Jefferson Emergency Physicians Pllc, Jasper Emergency Physicians Pllc and his current practice location is 11800 Astoria Blvd, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (281) 929-6100.

Sandeep Duggal is licensed to practice in Texas (license number M9986) 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 1609813872.

Contact Information

Sandeep Duggal, MD
11800 Astoria Blvd,
Houston, TX 77089-6041
(281) 929-6100
Not Available

Map and Direction




Physician's Profile

Full NameSandeep Duggal
GenderMale
SpecialityEmergency Medicine
Experience25 Years
Location11800 Astoria Blvd, Houston, Texas
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:
  • Sandeep Duggal attended and graduated from New York Medical College in 1999
  NPI Data:
  • NPI Number: 1609813872
  • Provider Enumeration Date: 05/31/2006
  • Last Update Date: 09/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3375518871
  • Enrollment ID: I20090127000619

Medical Identifiers

Medical identifiers for Sandeep Duggal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609813872NPI-NPPES
01533OtherFLBLUE SHIELD
199074921MedicaidTX
271995900MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine ME92370 (Florida)Secondary
207P00000XEmergency Medicine M9986 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Southeast Texas- St ElizabethBeaumont, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jefferson Emergency Physicians Pllc488004856054
Jasper Emergency Physicians Pllc913357398338

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. Sandeep Duggal allows following entities to bill medicare on his behalf.
Entity NameAcs Primary Care Physicians Southwest Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameJefferson Emergency Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497966949
PECOS PAC ID: 8325130925
Enrollment ID: O20070828000367
Entity NameJasper Emergency Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346442746
PECOS PAC ID: 7618062241
Enrollment ID: O20070927000597
Entity NameSound Physicians Emergency Medicine Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518475557
PECOS PAC ID: 9739449802
Enrollment ID: O20180209001251
Entity NameMemorial Hermann Hospital Based Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295363497
PECOS PAC ID: 4385075480
Enrollment ID: O20200505001521
Entity NameSoutheast Emergency Medicine Associates, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831781491
PECOS PAC ID: 2062820616
Enrollment ID: O20210420000721
Entity NameHospitalist Medicine Physicians Of Texas - Houston, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760028740
PECOS PAC ID: 2860881125
Enrollment ID: O20211109000125
Entity NameEmergency Medicine Services Of Tx Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245938729
PECOS PAC ID: 3375909351
Enrollment ID: O20230517001124
Entity NameJasper Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922781970
PECOS PAC ID: 9133573983
Enrollment ID: O20230927001797
Entity NameJefferson Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609559699
PECOS PAC ID: 4880048560
Enrollment ID: O20230928003491

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. Sandeep Duggal 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
Sandeep Duggal, MD
11800 Astoria Blvd,
Houston, TX 77089-6041

Ph: (281) 929-6100		Sandeep Duggal, MD
11800 Astoria Blvd,
Houston, TX 77089-6041

Ph: (281) 929-6100

Reviews and Comments


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Dr. Miguel A Nieto, D.O.
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Thomas Alan Gerbus, MD
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Phone: 713-500-7878    Fax: 713-500-0758

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.