Active NPI
Jagteshwar Sandhu, MD
- Diagnostic Radiology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME158202
- Practice address
- 1475 NW 12TH Ave
Miami, FL 33136-1002 - Phone
- (305) 243-5512
- Fax
- (305) 243-4613
- NPI assigned
- Jun 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | TRN29154 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN29154 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME158202 | FL | Primary |
Addresses
Primary practice location
1475 NW 12TH Ave
Miami, FL 33136-1002
Mailing address
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 243-5512
Other practice location 1
900 NW 17th St Rm 65
Miami, FL 33136-1119
Phone (305) 243-5512
Other practice location 2
5555 Ponce De Leon Blvd Fl 1
Coral Gables, FL 33146-2513
Phone (305) 243-5512
Other practice location 3
3848 Fau Blvd Ste 305
Boca Raton, FL 33431-6437
Phone (561) 455-3627
Other practice location 4
8932 SW 97th Ave
Miami, FL 33176-1936
Phone (305) 243-5512
Other practice location 5
1192 E Newport Center Dr
Deerfield Bch, FL 33442-7753
Phone (305) 243-5512
Other practice location 6
8100 SW 10th st
Corporate Park Buildling 3
Plantation, FL 33324
Phone (954) 210-1090
Other practice location 7
1115 NW 14th St
Miami, FL 33136-2106
Phone (305) 243-5512
Other practice location 8
1400 NW 12th Ave
Miami, FL 33136-1003
Phone (305) 243-5512
Other practice location 9
1611 NW 12th Ave
Miami, FL 33136-1005
Phone (305) 243-2067
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsandhu485173@ewd.direct.hshs.org | Direct | St Vincent Hospital-Hospital Sisters-Third Order of St Francis |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Miami, LM Miller School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1409 Cleveland Ave
Marinette, WI 54143-3918
Phone (920) 496-4700
1726 Shawano Ave
Green Bay, WI 54303-3216
Phone (920) 496-4700
1821 S Webster Ave
Green Bay, WI 54301-2253
Phone (920) 496-4700
1860 Shawano Ave
Green Bay, WI 54303-2667
Phone (920) 496-4700
2502 S Ashland Ave
Green Bay, WI 54304-5252
Phone (920) 496-4700
3021 Voyager Dr
Green Bay, WI 54311-8303
Phone (920) 496-4700
3100 Superior Ave
Sheboygan, WI 53081-1948
Phone (800) 472-6710
3113 Saemann Ave
Sheboygan, WI 53081-1957
Phone (920) 496-4700
333 N Commercial St
Suite 100
Neenah, WI 54956-2675
Phone (920) 722-1840
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 496-4700
Hospital & facility affiliations
- St Vincent Hospital
- St Marys Hospital Medical Ctr
- St Nicholas Hospital
- Door County Medical Center
- HSHS St Clare Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME158202 | FL | MD | Diagnostic Radiology Physician |
| TRN29154 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| GBR Sheboygan LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of the Fox Valley, SC | Diagnostic Radiology | Current | Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Surgery | Current | Accepting new patients |
| Green Bay Radiology SC | Diagnostic Radiology | Current | Accepting new patients |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
Locations
100 E Campus View Blvd
Ste 100
Columbus, OH 43235
Phone (412) 359-8743
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
333 N Commercial St
Ste 100
Neenah, WI 54956
Phone (920) 722-1750
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Sheboygan, WI
- NPI 1467529917
-
- Diagnostic Radiology Physician
- Green Bay, WI
- NPI 1447327986
-
- Diagnostic Radiology Physician
- Neenah, WI
- NPI 1477539443
-
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
Surgery
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
-
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
-
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1245042530
-
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sturgeon Bay, WI
- NPI 1093743874
-
- Medicare Defined Swing Bed Hospital Unit
- Oconto Falls, WI
- NPI 1326349135
-
- Critical Access Hospital
- Oconto Falls, WI
- NPI 1851477913
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1649246877
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sheboygan, WI
- NPI 1427009992
Hospital
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1114908001
-
- General Acute Care Hospital
- Sheboygan, WI
- NPI 1730184342
-
- Hematology & Oncology Physician
- Sheboygan, WI
- NPI 1831784636
Hospital
-
- Hematology & Oncology Physician
- Green Bay, WI
- NPI 1184004236
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1033778329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-5512",
"fax_number": "305-243-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 NW 12TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361002",
"telephone_number": "305-243-5512",
"fax_number": "305-243-4613"
}
],
"practiceLocations": [
{
"address_1": "900 NW 17th St Rm 65",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361119",
"country_code": "US",
"telephone_number": "305-243-5512",
"fax_number": "305-243-4613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 Ponce De Leon Blvd Fl 1",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331462513",
"country_code": "US",
"telephone_number": "305-243-5512",
"fax_number": "305-243-4613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3848 Fau Blvd Ste 305",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334316437",
"country_code": "US",
"telephone_number": "561-455-3627",
"fax_number": "561-393-7312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8932 SW 97th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331761936",
"country_code": "US",
"telephone_number": "305-243-5512",
"fax_number": "305-243-4613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1192 E Newport Center Dr",
"address_purpose": "LOCATION",
"city": "Deerfield Bch",
"state": "FL",
"postal_code": "334427753",
"country_code": "US",
"telephone_number": "305-243-5512",
"fax_number": "305-243-4613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8100 SW 10th st",
"address_2": "Corporate Park Buildling 3",
"address_purpose": "LOCATION",
"city": "Plantation",
"state": "FL",
"postal_code": "33324",
"country_code": "US",
"telephone_number": "954-210-1090",
"fax_number": "954-210-1085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1115 NW 14th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331362106",
"country_code": "US",
"telephone_number": "305-243-5512",
"fax_number": "305-243-4613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361003",
"country_code": "US",
"telephone_number": "305-243-5512",
"fax_number": "305-243-4613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1611 NW 12th Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361005",
"country_code": "US",
"telephone_number": "305-243-2067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDHU",
"first_name": "JAGTESHWAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-10",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "TRN29154",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN29154",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME158202",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsandhu485173@ewd.direct.hshs.org",
"affiliation": "Y",
"affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "835 S Van Buren St",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543013526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.