M Tariq Randhawa, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

116454-1 Issued in NY

Practice address

411 Canisteo St
Hornell, NY 14843-2104

Phone

(607) 324-8000

NPI assigned

May 19, 2006

Last updated

May 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Internal Medicine

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• St James Hospital Hospital, Hornell, NY, CCN 330151
• Elderwood at Hornell Nursing home, Hornell, NY, CCN 335691

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• M Tariq Randhawa Medical Practice PLLC

  • Internal Medicine Physician
  • Hornell, NY
  • NPI 1942555313
  Medicare reassignment NPD
• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Medicare reassignment NPD
• 1 Bethesda Drive Operating Company, LLC

  dba Elderwood at Hornell

  • Skilled Nursing Facility
  • Hornell, NY
  • NPI 1093101743
  NPD (past)
• Delphi Hospitalist Services LLC

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1922270420
  NPD (past)
• Hornell Medical Group PC

  • Internal Medicine Physician
  • Hornell, NY
  • NPI 1225346224
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 1 Bethesda Drive Operating Company, LLC

  dba Elderwood at Hornell

  • Skilled Nursing Facility
  • Hornell, NY
  • NPI 1093101743

  Nursing home

  Care Compare affiliation
• St James Hospital

  • Rural Acute Care Hospital
  • Hornell, NY
  • NPI 1013985399
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1164476743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CANISTEO ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432104",
            "telephone_number": "607-324-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CANISTEO ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432104",
            "telephone_number": "607-324-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "M",
        "middle_name": "TARIQ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "116454-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00459123",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Preston
• Procair Inc (Medical Service Company)
• Katie Quinlan, MSN, APRN, FNP
• Kimberly Anne Quinlan, REGISTERED NURSE
• Sarah Ramirez
• Ranjit S Dhaliwal, Phy, PLLC
• Brenda Kay Remchuk, RN
• Faith Rice
• Darnell Michael Ridgeway
• Cara Riesdorph, PT

• Internal Medicine Physician in Hornell, NY
• Providers in Hornell, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.

Verify at the official NPI Registry.