Active NPI
Rajni Sandhu Marco, M.D.
- Pediatrics Physician
- Greenville, NC
National Provider Identifier
1114365152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2016-01573
- Practice address
- 1826 W Arlington Blvd
Children'S Health Services, PA
Greenville, NC 27834-5704 - Phone
- (252) 329-7337
- Fax
- (252) 329-1477
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2016-01573 | NC | Primary |
Addresses
Primary practice location
1826 W Arlington Blvd
Children'S Health Services, PA
Greenville, NC 27834-5704
Mailing address
9059 W. Lake Pleasant Pkwy Ste E-540
Peoria, AZ 85382
Phone (623) 322-3380
Other practice location 1
600 Moye Blvd
ECU Physicians Pediatrics
Greenville, NC 27834-4300
Phone (252) 744-2335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114365152 | Medicaid | NC | |
| 19JGH | Other | NC | BCBS OF NC |
Other names 1
- Dr. Rajni Kaur Sandhu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250523000172 | AZ | Order and Referring Only - Pediatric Medicine | 5294024691 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016-01573 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS of Arrowhead, Inc | Past | Accepting new patients | |
| Pleasant Pediatrics PLC | Pediatrics | Past | Accepting new patients |
| Pleasant Pediatrics PLC | Pediatrics | Past | Accepting new patients |
| Pleasant Pediatrics PLC | Pediatrics | Past | Accepting new patients |
| Pleasant Pediatrics PLC | Pediatrics | Past | Accepting new patients |
| Banner Estrella Medical Center | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
-
- Pediatrics Physician
- Glendale, AZ
- NPI 1467032649
-
- Pediatrics Physician
- Peoria, AZ
- NPI 1477742807
-
- Pediatrics Physician
- Glendale, AZ
- NPI 1619485489
-
- Pediatrics Physician
- Peoria, AZ
- NPI 1790025591
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114365152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9059 W. LAKE PLEASANT PKWY STE E-540",
"city": "PEORIA",
"state": "AZ",
"postal_code": "85382",
"telephone_number": "623-322-3380",
"fax_number": "623-322-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 W ARLINGTON BLVD",
"address_2": "CHILDREN'S HEALTH SERVICES, PA",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-329-7337",
"fax_number": "252-329-1477"
}
],
"practiceLocations": [
{
"address_1": "600 Moye Blvd",
"address_2": "ECU Physicians Pediatrics",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278344300",
"country_code": "US",
"telephone_number": "252-744-2335",
"fax_number": "252-744-3811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCO",
"first_name": "RAJNI",
"middle_name": "SANDHU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2016-01573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114365152",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19JGH",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAJNI",
"last_name": "SANDHU",
"middle_name": "KAUR",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.