Active NPI
Gursharan Kaur, M.D.
- Internal Medicine Physician
- Sedro Woolley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD61488963
- Practice address
- 1990 Hospital Dr Ste 200
Sedro Woolley, WA 98284-9315 - Phone
- (360) 856-8800
- Fax
- (360) 714-2520
- NPI assigned
- May 26, 2021
- Last updated
- May 28, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | MD61488963 | WA | Primary |
Addresses
Primary practice location
1990 Hospital Dr Ste 200
Sedro Woolley, WA 98284-9315
Mailing address
501 South Washington Ave.
Scranton, PA 18505
Phone (570) 591-5153
Other practice location 1
501 South Washington Ave.
Scranton, PA 18505
Phone (570) 591-5153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1990 Hospital Dr
Suite 110
Sedro Woolley, WA 98284-9315
Phone (360) 856-8810
Hospital & facility affiliations
- Alpha Home Health
- Peacehealth United General Medical Center
- Peacehealth St Joseph Medical Center
- Skagit Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61488963 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth Medical Group - Sedro Woolley | Current | Accepting new patients | |
| The Wright Center Medical Group | Internal Medicine | Current | Accepting new patients |
Locations
501 S Washington Ave
Scranton, PA 18505
Phone (570) 591-5153
835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641
1990 Hospital Dr
Ste 110
Sedro Woolley, WA 98284
Phone (360) 856-8830
1990 Hospital Dr
Ste 200
Sedro Woolley, WA 98284
Phone (360) 856-4222
Interoperability endpoints
- gkaur658699@direct.peacehealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Sedro Woolley, WA
- NPI 1407283179
-
dba The Wright Center For Community Health
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1649836941
Internal Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba PeaceHealth United General Medical Center
- Critical Access Hospital
- Sedro Woolley, WA
- NPI 1144664954
-
dba Skagit Valley Hospital
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1114592623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SOUTH WASHINGTON AVE.",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18505",
"telephone_number": "570-591-5153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 HOSPITAL DR STE 200",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982849315",
"telephone_number": "360-856-8800",
"fax_number": "360-714-2520"
}
],
"practiceLocations": [
{
"address_1": "501 South Washington Ave.",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "18505",
"country_code": "US",
"telephone_number": "570-591-5153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUR",
"first_name": "GURSHARAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD61488963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.