Individual provider Active NPI

Jyoti Kaur Randhawa, MD

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1205037595
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C179643 Issued in CA
Practice address
1532 Rosalind St
Sacramento, CA 95838
Phone
(408) 568-9834
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301089622 MI
Child & Adolescent Psychiatry Physician 2084P0804X 036126170 IL
Student in an Organized Health Care Education/Training Program 390200000X 4301089622 MI
Psychiatry Physician 2084P0800X C179643 CA Primary

Addresses

Primary practice location

1532 Rosalind St
Sacramento, CA 95838

Mailing address

1532 Rosalind St
Sacramento, CA 95838
Phone (408) 568-9834

Other practice location 1

1004 Pawlak Pkwy
New Lenox, IL 60451-9401
Phone (847) 770-2630

Other practice location 2

165 North Canal Street Unit 513
Chicago, IL 60606-9401
Phone (641) 328-4822

Other practice location 3

555 Wilson Ln
Des Plaines, IL 60016-4729
Phone (847) 768-5430

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrandhawa379761@ewd.direct.hshs.org Direct Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, MI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110610000401 IL Practitioner - Psychiatry 3274710603 Reassigns benefits to 2 organizations
I20230209001504 WI Practitioner - Psychiatry 3274710603 Reassigns benefits to 1 organization
I20241031002411 MI Practitioner - Psychiatry 3274710603 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1234 Napier Ave
Corewell Health Lakeland Hospitals
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.36 of 100Reported as apm
Quality
83.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C179643CAMDPsychiatry Physician
036126170ILMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
2014 Health, LLC CurrentSince Jan 8, 2019 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Dec 23, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 29, 2025 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Dec 23, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Oct 29, 2025 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Oct 24, 2024 Accepting new patients
Riveredge Hospital Inc CurrentSince Sep 22, 2024 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Oct 24, 2024 Accepting new patients

Locations

555 Wilson Ln
Des Plaines, IL 60016
Phone (212) 243-5565

8311 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-4968

35 Michigan St NE
Ste 5101
Grand Rapids, MI 49503
Phone (616) 267-1030

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Organizations & group practices 8

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 2

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1205037595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 ROSALIND ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95838",
            "telephone_number": "408-568-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 ROSALIND ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95838",
            "telephone_number": "408-568-9834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Pawlak Pkwy",
            "address_purpose": "LOCATION",
            "city": "New Lenox",
            "state": "IL",
            "postal_code": "604519401",
            "country_code": "US",
            "telephone_number": "847-770-2630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 North Canal Street Unit 513",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606069401",
            "country_code": "US",
            "telephone_number": "641-328-4822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Wilson Ln",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600164729",
            "country_code": "US",
            "telephone_number": "847-768-5430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "JYOTI",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301089622",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036126170",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301089622",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C179643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrandhawa379761@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "Sacred Heart Hospital of the Hospital Sisters- 3rd Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "900 W Clairemont Ave",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.