Individual provider Active NPI

Inderjeet Brar, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Massillon, OH
National Provider Identifier
1114937646
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
C155922 Issued in CA
Practice address
875 8TH St NE
Massillon, OH 44646-8503
Phone
(330) 294-4440
Fax
(330) 236-4960
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35083555 OH
Hospitalist Physician 208M00000X 35083555 OH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C155922 CA Primary

Addresses

Primary practice location

875 8TH St NE
Massillon, OH 44646-8503

Mailing address

4881 Paxton Rd
Copley, OH 44321-1867
Phone (330) 294-4440

Other identifiers 1

IdentifierTypeStateIssuer
2549791MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180910000955 CA Practitioner - Critical Care (Intensivists) 3173574407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuba Pulmonary AssociatesGroup PAC ID 0749637817, 4 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians

Practice addresses (Care Compare)

1134 Plumas St
Yuba City, CA 95991-3409
Phone (530) 205-3991

16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457

2800 L St
Sacramento, CA 95816-5616

460 Plumas Blvd
Yuba City, CA 95991-5005
Phone (530) 741-1400

480 Plumas Blvd
Yuba City, CA 95991-5005
Phone (530) 749-3500

726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900

Hospital & facility affiliations

  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Colusa Medical Center Hospital, Colusa, CA, CCN 050783
  • Enloe Health Hospital, Chico, CA, CCN 050039
  • Orchard Hospital Hospital, Gridley, CA, CCN 051311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C155922CAMDCritical Care Medicine (Internal Medicine) Physician
35083555OHMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yuba Pulmonary Associates Critical Care Medicine CurrentSince Sep 27, 2023 Accepting new patients
Rideout Memorial Hospital CurrentSince Oct 23, 2023 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 1, 2023 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
NPCS Inc Critical Care Medicine Past Accepting new patients
PCS Sleep Center, LLC Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1134 Plumas St
Yuba City, CA 95991
Phone (530) 205-3991

1531 Plumas Ct
Ste B
Yuba City, CA 95991
Phone (530) 674-2434

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: ibrar547613@hisp.ehr.sutterhealth.org
  • Direct secure messaging: inderjeet.brar.1@29366.direct.athenahealth.com

Organizations & group practices 7

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 5

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1114937646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 PAXTON RD",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443211867",
            "telephone_number": "330-294-4440",
            "fax_number": "330-236-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-294-4440",
            "fax_number": "330-236-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAR",
        "first_name": "INDERJEET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35083555",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35083555",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "C155922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2549791",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.