Individual provider Active NPI

Jagteshwar Sandhu, MD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1033778329
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME158202 Issued in FL
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

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721001243 WI Practitioner - Diagnostic Radiology 3678089372 Reassigns benefits to 5 organizations

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
GBR Sheboygan LLCGroup PAC ID 1951341064, 22 clinicians
Radiology Associates of the Fox Valley SCGroup PAC ID 0446152748, 73 clinicians
Green Bay Radiology SCGroup PAC ID 7113908310, 24 clinicians

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 Hospital, Green Bay, WI, CCN 520075
  • St Marys Hospital Medical Ctr Hospital, Green Bay, WI, CCN 520097
  • St Nicholas Hospital Hospital, Sheboygan, WI, CCN 520044
  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358
  • HSHS St Clare Memorial Hospital Hospital, Oconto Falls, WI, CCN 521310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME158202FLMDDiagnostic Radiology Physician
TRN29154FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jul 1, 2025 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 CurrentSince Jul 1, 2025 Accepting new patients
GBR Sheboygan LLC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Surgery CurrentSince Jul 1, 2025 Accepting new patients
Green Bay Radiology SC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Jul 1, 2025 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.

Hospital & facility affiliations 14

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

View all 14

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

Verify at the official NPI Registry.