Individual provider Active NPI

Ravinder Pal Singh Shergill, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Vancouver, WA
National Provider Identifier
1053341099
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD00044406 Issued in WA
Practice address
13305 SE Rivercrest Dr
Vancouver, WA 98683-6674
Phone
(503) 679-7103
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00044406 WA
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD00044406 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD00044406 WA Primary
Pulmonary Disease Physician 207RP1001X MD00044406 WA

Addresses

Primary practice location

13305 SE Rivercrest Dr
Vancouver, WA 98683-6674

Mailing address

13305 SE Rivercrest Dr
Vancouver, WA 98683-6674
Phone (503) 679-7103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20170109002966 AK Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9830095017 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intensivist Medicine of Ak LLCGroup PAC ID 0547635195, 7 clinicians

Practice addresses (Care Compare)

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1131

3750 E Country Field Cir
Suite E
Wasilla, AK 99654-6659
Phone (907) 357-4600

Hospital & facility affiliations

  • Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
  • Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Hospitalist Group LLC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Intensivist Medicine of Ak LLC Critical Care Medicine CurrentSince Apr 1, 2023 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Berkeley Cardiovascular Medical Group Past Accepting new patients
Northwest Primary Care Group, PC Internal Medicine Past Accepting new patients

Locations

3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

4300 B St
Ste 200
Anchorage, AK 99503
Phone (907) 276-1131

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1053341099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 SE RIVERCREST DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836674",
            "telephone_number": "503-679-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 SE RIVERCREST DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986836674",
            "telephone_number": "503-679-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERGILL",
        "first_name": "RAVINDER",
        "middle_name": "PAL SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00044406",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "WA",
            "license": "MD00044406",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD00044406",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD00044406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.