Individual provider Active NPI

Jagdeep K Bains, M.D

  • Internal Medicine Physician
  • Surprise, AZ
National Provider Identifier
1013966621
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29311 Issued in AZ
Practice address
13927 W Grand Ave
Suite 401
Surprise, AZ 85374-2438
Phone
(623) 544-6963
Fax
(623) 975-5486
NPI assigned
May 9, 2006
Last updated
Jul 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29311 AZ Primary

Addresses

Primary practice location

13927 W Grand Ave
Suite 401
Surprise, AZ 85374-2438

Mailing address

13927 W Grand Ave
Suite 401
Surprise, AZ 85374-2438
Phone (623) 544-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110121000955 AZ Practitioner - Internal Medicine 2961494240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wabash Medical Associates PCGroup PAC ID 0648262915, 2 clinicians

Practice addresses (Care Compare)

13927 W Grand Ave
Suite 401
Surprise, AZ 85374-2438
Phone (623) 544-6963

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wabash Medical Associates PC Internal Medicine CurrentSince Aug 15, 2001 Accepting new patients
Sun Health Corporation Past Accepting new patients

Locations

13927 W Grand Ave
Ste 401
Surprise, AZ 85374
Phone (623) 209-2225

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJBHAD/Endpoint/JJBHAD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1013966621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13927 W GRAND AVE",
            "address_2": "SUITE 401",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742438",
            "telephone_number": "623-544-6963",
            "fax_number": "623-975-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13927 W GRAND AVE",
            "address_2": "SUITE 401",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742438",
            "telephone_number": "623-544-6963",
            "fax_number": "623-975-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINS",
        "first_name": "JAGDEEP",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "29311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.