Individual provider Active NPI

Sukhjit Singh Takhar, MD

  • Internal Medicine Physician
  • San Mateo, CA
National Provider Identifier
1003871161
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A75198 Issued in CA
Practice address
101 S San Mateo Dr Ste 311
San Mateo, CA 94401-3844
Phone
(650) 747-6160
Fax
(650) 200-1001
NPI assigned
Apr 19, 2006
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A75198 CA
Infectious Disease Physician 207RI0200X A75198 CA
Internal Medicine Physician 207R00000X A75198 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr Ste 311
San Mateo, CA 94401-3844

Mailing address

101 S San Mateo Dr Ste 311
San Mateo, CA 94401-3844
Phone (650) 747-6160

Other identifiers 2

IdentifierTypeStateIssuer
930117624OtherCARAILROAD
00A751980MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217001047 CA Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Emergency Medicine 9436044674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.03 of 100Reported as group
Quality
95
Improvement activities
40
Cost
80.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A75198CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Peninsula Emergency Medical Associates Inc Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Sukhjit S Takhar MD Inc Infectious Disease CurrentSince Jan 1, 2023 Accepting new patients
S Takhar MD Internal Medicine Current Accepting new patients
Mills Peninsula Emergency Medical Associates Inc Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Antelope Valley Emergency Medical Associates Inc Emergency Medicine Past Accepting new patients

Locations

1501 Trousdale Dr
Burlingame, CA 94010
Phone (650) 696-3520

101 S San Mateo Dr
Ste 311
San Mateo, CA 94401
Phone (650) 696-8236

Interoperability endpoints

  • Direct secure messaging: stakhar380801@hisp.ehr.sutterhealth.org
  • Direct secure messaging: sukhjit.takhar@544305694375940.direct.elationemr.com
  • Direct secure messaging: sukhjit.takhar@902219586600964.direct.elationemr.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1003871161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 311",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-747-6160",
            "fax_number": "650-200-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 311",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-747-6160",
            "fax_number": "650-200-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKHAR",
        "first_name": "SUKHJIT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A75198",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A75198",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "930117624",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A751980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.