Tarandeep Singh Grewal, MD

Key facts

NPI

1053671529

Entity type

Individual (NPI type 1)

Primary specialty

Family Medicine Physician 207Q00000X

License

50196 (AZ)

Practice address

5443 W Molly LN
Phoenix, AZ 85083-6376

Phone

(602) 773-1120

NPI assigned

May 18, 2012

Sex

Male

Sole proprietor

No

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.

• 4C Medical Group PLC Multi-Specialty Clinic/Center · Scottsdale, AZ · NPI 1558654384
  Medicare reassignment NPD AZ · FAMILY MEDICINE
• Dvma, LLC Internal Medicine Physician · Peoria, AZ · NPI 1194893800
  Medicare reassignment NPD AZ · INTERNAL MEDICINE
• Keshavjivan PLLC Primary Care Nurse Practitioner · Coolidge, AZ · NPI 1922653690
  Medicare reassignment NPD AZ
• S P Gill MD PC Medical Specialty Clinic/Center · Sun City, AZ · NPI 1366621930
  Medicare reassignment NPD AZ
• Scottsdale Physicians Group PLC Internal Medicine Physician · Scottsdale, AZ · NPI 1689799579
  Medicare reassignment NPD AZ · INTERNAL MEDICINE
• 4C Medical Group PLC Urgent Care Clinic/Center · Carefree, AZ · NPI 1669916607
  NPD
• Allergy and Environmental Treatment Center, LLC Clinic/Center · Scottsdale, AZ · NPI 1265600027
  NPD FAMILY MEDICINE
• Sun Valley Internist LLC Non-Pharmacy Dispensing Site · Sun City, AZ · NPI 1194146555
  NPD (past)
• Ubh of Phoenix LLC Psychiatric Hospital · Phoenix, AZ · NPI 1083942098
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tgrewal@destiny-springs-hc.direct.kno2fy.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 28, 2022.

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1053671529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 W PINNACLE HILL DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853103632",
            "fax_number": "480-478-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5443 W MOLLY LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850836376",
            "telephone_number": "602-773-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWAL",
        "first_name": "TARANDEEP",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT201636",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "50196",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "50196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

• Lesley Greven, REGISTERED NURSE
• Hardeep S Grewal, MD
• Hermanpreet Grewal, MSW
• Kulbir Singh Grewal
• Kushmit Singh Grewal, M.D.
• Greysky Diagnostics LLC
• Greystone House LLC
• Daniel G Gridley, M.D.
• Robin R Grieco, B.S.
• Carolyn Griedl, RD

All providers in Phoenix, AZ · Family Medicine Physician in Arizona