Individual provider Active NPI

Sandeep Singh Jhajj, M.D

  • Vascular Surgery Physician
  • Medford, OR
National Provider Identifier
1174962369
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MS204777 Issued in OR
Practice address
940 Royal Ave Unit 100
Medford, OR 97504-6194
Phone
(541) 732-8388
NPI assigned
Jun 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 61340200 WA
Vascular Surgery Physician 2086S0129X MS204777 OR Primary
Surgery Physician 208600000X R73897 AZ

Addresses

Primary practice location

940 Royal Ave Unit 100
Medford, OR 97504-6194

Mailing address

PO Box 3158
Portland, OR 97208-3158
Phone (541) 732-8388

Other practice location 1

13001 E 17th Pl
Aurora, CO 80045-2570
Phone (303) 724-2685

Other practice location 2

2950 Squalicum Pkwy Ste B
Bellingham, WA 98225-1857
Phone (360) 788-6063

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjhajj1764084@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210520003155 OR Practitioner - Vascular SurgeryPractitioner - General Surgery 8022369941 Reassigns benefits to 3 organizations
I20260303001159 WA Practitioner - Vascular Surgery 8022369941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

940 Royal Ave
Unit 100
Medford, OR 97504-6194
Phone (541) 732-8388

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)27
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R73897AZMDSurgery Physician
61340200WAMDSurgery Physician
MS204777ORMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2021 Accepting new patients
Peacehealth Medical Group Surgery CurrentSince Mar 14, 2024 Accepting new patients
Peacehealth Vascular Surgery CurrentSince Dec 21, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2021 Accepting new patients
Peacehealth Medical Group CurrentSince Mar 14, 2024 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Jun 1, 2021 Accepting new patients
Peacehealth Surgery CurrentSince Jul 3, 2023 Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

940 Royal Ave
Unit 350
Medford, OR 97504
Phone (541) 732-7460

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

940 Royal Ave
Unit 100
Medford, OR 97504
Phone (541) 732-8388

2801 NW Mercy Dr
Ste 350
Roseburg, OR 97471
Phone (541) 222-2700

3355 Riverbend Dr
Ste 400
Springfield, OR 97477
Phone (541) 222-2402

3311 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3531

2950 Squalicum Pkwy
Ste B
Bellingham, WA 98225
Phone (360) 715-4186

Interoperability endpoints

  • Direct secure messaging: sjhajj610426@direct.peacehealth.org

Organizations & group practices 9

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 4

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": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1174962369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "541-732-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 ROYAL AVE UNIT 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046194",
            "telephone_number": "541-732-8388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13001 E 17th Pl",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452570",
            "country_code": "US",
            "telephone_number": "303-724-2685",
            "fax_number": "303-724-2682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 Squalicum Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251857",
            "country_code": "US",
            "telephone_number": "360-788-6063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JHAJJ",
        "first_name": "SANDEEP",
        "middle_name": "SINGH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "61340200",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MS204777",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "R73897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjhajj1764084@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "940 Royal Ave Unit 100",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975046194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.