Active NPI
Preet Kiran Sandhu, MD
- Diagnostic Radiology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301090266
- Practice address
- 848 Adams Ave
Radiology G216
Memphis, TN 38103-2816 - Phone
- (901) 287-6938
- Fax
- (901) 287-5147
- NPI assigned
- Jul 28, 2011
- Last updated
- Jul 31, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Radiology Physician | 2085P0229X | MD0000051492 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | 4301090266 | MI | Primary |
Addresses
Primary practice location
848 Adams Ave
Radiology G216
Memphis, TN 38103-2816
Mailing address
8841 River Pine Dr
Cordova, TN 38016-7101
Phone (901) 748-5750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Diagnostic Radiology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Humphreys Blvd
Memphis, TN 38120-2146
Phone (901) 287-7337
848 Adams Ave
Memphis, TN 38103-2816
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000051492 | TN | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Pediatric Radiology | Current | Accepting new patients |
| Covenant Medical Center, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360
848 Adams Ave
#G216
Memphis, TN 38103
Phone (901) 287-6938
Interoperability endpoints
- psandhu31845@mlh.direct-ci.com
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.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
Pediatric Radiology
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
Diagnostic Radiology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Le Bonheur Children's Hospital
- Children's Hospital
- Memphis, TN
- NPI 1386709871
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
-
dba Le Bonheur Children's Hospital - Germantown
- Children's Hospital
- Germantown, TN
- NPI 1649654450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1144508854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8841 RIVER PINE DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380167101",
"telephone_number": "901-748-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 ADAMS AVE",
"address_2": "RADIOLOGY G216",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032816",
"telephone_number": "901-287-6938",
"fax_number": "901-287-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "PREET",
"middle_name": "KIRAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "TN",
"license": "MD0000051492",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301090266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.