Active NPI
Jyoti Kaur Randhawa, MD
- Psychiatry Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C179643
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| C179643 | CA | MD | Psychiatry Physician |
| 036126170 | IL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2014 Health, LLC | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Riveredge Hospital Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | 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.
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Psychiatric Hospital
- Des Plaines, IL
- NPI 1083021877
-
- Psychiatric Hospital
- Forest Park, IL
- NPI 1710070701
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.