NPIMap

Individual provider Active NPI

Simarjit Kaur Shergill, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Bellingham, WA
National Provider Identifier
1215227822
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD60340707 Issued in WA
Practice address
3015 Squalicum Pkwy
Bellingham, WA 98225-1945
Phone
(360) 715-4186
Fax
(360) 715-4187
NPI assigned
Apr 15, 2011
Last updated
Mar 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD60340707 WA Primary

Addresses

Primary practice location

3015 Squalicum Pkwy
Bellingham, WA 98225-1945

Mailing address

3015 Squalicum Pkwy
Bellingham, WA 98225-1945
Phone (360) 715-4186

Other identifiers 1

IdentifierTypeStateIssuer
312336OtherWACRIME VICTIMS AND L&I

Other names 1

  • Dr. Simarjit Kaur Sidhu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130813000578 WA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5597907089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 734-5400

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Current Accepting new patients
Peacehealth CurrentSince Jul 19, 2013 Accepting new patients
Family Care Network PLLC Current Accepting new patients
Family Care Network PLLC CurrentSince Apr 15, 2020 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Feb 1, 2022 Accepting new patients
Family Care Network PLLC CurrentSince Apr 15, 2020 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Feb 1, 2022 Accepting new patients
Peacehealth Past Accepting new patients

Locations

3015 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 715-4186

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: sshergill23738@direct.peacehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1302825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1215227822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-715-4186",
            "fax_number": "360-715-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251945",
            "telephone_number": "360-715-4186",
            "fax_number": "360-715-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERGILL",
        "first_name": "SIMARJIT",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-15",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD60340707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS AND L&I",
            "identifier": "312336",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMARJIT",
            "last_name": "SIDHU",
            "middle_name": "KAUR",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.