Individual provider Active NPI

Amandeep Singh, M.D

  • Internal Medicine Physician
  • Bloomington, IN
National Provider Identifier
1104059468
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01073342A Issued in IN
Practice address
4317 E 3Rd St
Bloomington, IN 47401-5551
Phone
(812) 803-0079
NPI assigned
Sep 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 01073342A IN Primary

Addresses

Primary practice location

4317 E 3Rd St
Bloomington, IN 47401-5551

Mailing address

3720 E Brighton Ave
Bloomington, IN 47401-4203

Other practice location 1

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403-8000
Phone (812) 340-6585

Other identifiers 1

IdentifierTypeStateIssuer
201224030MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20140227001555 IN Practitioner - Internal MedicinePractitioner - Emergency Medicine 0244377364 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe Medical Group IncGroup PAC ID 0446576680, 25 clinicians

Practice addresses (Care Compare)

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403-8000
Phone (812) 825-1111

Hospital & facility affiliations

  • Monroe Hospital Hospital, Bloomington, IN, CCN 150183
  • St Elizabeth Dearborn Hospital Hospital, Lawrenceburg, IN, CCN 150086
  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051

Merit-based Incentive Payment System (MIPS)

Final score
80.71 of 100Reported as group
Quality
56.86
Promoting interoperability
97
Improvement activities
40
Cost
81.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hospitalist Physicians, LLP CurrentSince Jan 6, 2014 Accepting new patients
Northwest Hospitalist Physicians LLP CurrentSince Jan 6, 2014 Accepting new patients
Monroe Physicians Group Past Accepting new patients

Locations

4011 S Monroe Medical Park Blvd
Bloomington, IN 47403
Phone (812) 825-5777

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

Organizations & group practices 4

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 3

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": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1104059468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 E BRIGHTON AVE",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474014203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015551",
            "telephone_number": "812-803-0079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4011 S Monroe Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474038000",
            "country_code": "US",
            "telephone_number": "812-340-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "AMANDEEP",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-02",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01073342A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201224030",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.