DR. AJAY SEHGAL M.D.
NPI 1720251903
Psychiatry & Neurology - Psychiatry in Milwaukee, WI
NPI Status: Active since April 08, 2008
Contact Information
8701 W WATERTOWN PLANK RD
PSYCHIATRY DEPARTMENT, TOSA CENTER
MILWAUKEE, WI
ZIP 53226
Phone: (414) 955-8990
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
About AJAY SEHGAL
This page provides the complete NPI Profile along with additional information for Ajay Sehgal, a provider established in Milwaukee, Wisconsin with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1720251903 assigned on April 2008. The practitioner's primary taxonomy code is 2084P0800X with license number 4301099951 (MI). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1720251903
- Provider Name
- DR. AJAY SEHGAL M.D.
- Other Name
- DR. AJAY SEHGAL
- Other Name Type
- Professional Name (2)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8701 W WATERTOWN PLANK RD PSYCHIATRY DEPARTMENT, TOSA CENTER MILWAUKEE, WI 53226
- Location Phone
- (414) 955-8990
- Mailing Address
- 8701 W WATERTOWN PLANK RD PSYCHIATRY DEPARTMENT, TOSA CENTER MILWAUKEE, WI 53226
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-08-2008
- Last Update Date
- 12-09-2013
- Code Navigator
A psychiatrist like Ajay Sehgal are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 4301099951
- License State
- MI
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 53553020 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ajay Sehgal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 15 minutes
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 504 times for 32 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53226 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $163.24
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $40.81
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. AJAY SEHGAL M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 5 | 1 | 9 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 5 | 2 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 5 + 2 + 9 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1720251903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659320331 | ROBERT J. VICKREY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (414) 456-8990 |
| 1841371234 | DR. KHAZI A MUQEET M.D Individual | Psychiatry & Neurology (Psychiatry) | 8701 W WATERTOWN PLANK RD DEPT OF PYCHIATRY MILWAUKEE, WI 53226 (414) 456-6000 |
| 1134208192 | DR. ANITA VIJAYAKUMAR MD Individual | General Practice | 8701 W WATERTOWN PLANK RD MEDICAL COLLEGE OF WISCONSIN DEPARTMENT OF PSYCHIATRY MILWAUKEE, WI 53226 (414) 456-8900 |
| 1295802254 | DR. DAVID CHUNG M.D. Individual | Psychiatry & Neurology (Psychiatry) | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (414) 456-6000 |
| 1861533770 | MARY F RAYNOR NP Individual | Nurse Practitioner | 8701 W WATERTOWN PLANK RD DIVISION OF NEOPLASTIC DISEASES MILWAUKEE, WI 53226 (414) 805-4600 |
| 1699894675 | ANGELA SCHARNHORST M.D. Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD WAUWATOSA, WI 53226 (262) 570-2760 |
| 1891901112 | DR. DAVIDA A. ROBINSON M.D. Individual | Surgery | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (414) 456-8296 |
| 1326243718 | MARK CHRISTIAN PHELPS M.D. Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (800) 465-3203 |
| 1154501500 | DR. OLUGBENGA B KUTEYI MD, FWACP. Individual | Psychiatric Unit | 8701 W WATERTOWN PLANK RD MCWAH MILWAUKEE, WI 53226 (414) 266-3736 |
| 1659545465 | ASHA MEHTA Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (414) 456-4574 |
| 1700032059 | DR. MARIO LUC MD Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (414) 456-4575 |
| 1356575500 | MR. KAUSTUBH PRADIP SAGDEO MD Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (414) 456-8296 |
| 1629202577 | DARIA ZORZI M.D. Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD POST OFFICE BOX 26509 MILWAUKEE, WI 53226 (414) 456-4575 |
| 1710298575 | DR. JOHN JEFFREY FISZER M.D. Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD POST OFFICE BOX 26509 MILWAUKEE, WI 53226 (414) 456-4575 |
| 1134418080 | RAHA NABBI M.D. Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (414) 955-4578 |
| 1386901189 | PATRICK MITCHELL BRITTON Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (414) 955-8296 |
| 1649521105 | THE MEDICAL COLLEGE OF WISCONSIN INC Organization | Case Management | 8701 W WATERTOWN PLANK RD FAMILY MEDICINE-CCN BUILDING MILWAUKEE, WI 53226 (414) 955-8368 |
| 1154434181 | DR. JANE M. KOTCHEN MD Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 8701 W WATERTOWN PLANK RD DEPARTMENT OF POPULATION HEALTH CLINIC MILWAUKEE, WI 53226 (414) 955-8201 |
| 1104168269 | DR. AMIT ISHWAR BHAVAN M.D. Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD DEPARTMENT OF PSYCHIATRY & BEHAVIORAL MEDICINE MILWAUKEE, WI 53226 (414) 955-8998 |
| 1154764132 | MUSI YE M.D. Individual | Student in an Organized Health Care Education/Training Program | 8701 W WATERTOWN PLANK RD MILWAUKEE, WI 53226 (414) 955-4575 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720251903, enumerated in the NPI registry as an "individual" on April 08, 2008
The provider is located at 8701 W Watertown Plank Rd Psychiatry Department, Tosa Center Milwaukee, Wi 53226 and the phone number is (414) 955-8990
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $163.24 with an average copayment of $40.81 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Follow-up hospital inpatient care per day, typically 15 minutes.
This NPI record was last updated on April 08, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.