Shiv Sehra, M.D.
NPI 1609101732 · Rheumatology Physician · Cambridge, MA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shiv Sehra, M.D. is a Rheumatology Physician provider in Cambridge, MA (NPI 1609101732).
Provider details
- NPI number
- 1609101732
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 257954 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
166 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 80 | $137 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 64 | $99 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 22 | $17 |
Typical Medicare-allowed amounts for these services range $17–$137 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 154 | 49 |
| Hydroxychloroquine Sulfate | 132 | 39 |
| Methotrexate Sodiumbrand: Methotrexate | 45 | 18 |
| Sulfasalazine | 40 | — |
| Allopurinol | 34 | 11 |
| Etanerceptbrand: Enbrel Sureclick | 25 | — |
| Adalimumabbrand: Humira(cf) Pen |
Practice location
Mailing address
Additional practice locations (1)
- 143 Longwater DrNorwell, MA 02061-1683Phone: (781) 878-5200
Registry dates
- Enumerated
- 2009-10-07
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Frequently asked questions
- What is Shiv Sehra's NPI number?
- Shiv Sehra's National Provider Identifier (NPI) is 1609101732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shiv Sehra's specialty?
- Shiv Sehra is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Shiv Sehra located?
- Shiv Sehra's practice location on file with NPPES is 725 Concord Ave, Cambridge, MA 02138-1040.
- What is Shiv Sehra's phone number?
- The practice phone number listed in the NPPES registry for Shiv Sehra is (617) 661-4600.
- Does Shiv Sehra accept Medicare?
- Shiv Sehra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shiv Sehra's NPI active?
- Yes — Shiv Sehra's NPI (1609101732) is active in the NPPES registry as of the last update on 2024-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.