Individual provider Active NPI

Khalid P Sindhu, MD

  • Nephrology Physician
  • Watertown, NY
National Provider Identifier
1255371712
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
197030 Issued in NY
Practice address
19316 US Route 11 Ste B
Watertown, NY 13601-6736
Phone
(315) 782-0136
Fax
(315) 782-7212
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 197030 NY Primary

Addresses

Primary practice location

19316 US Route 11 Ste B
Watertown, NY 13601-6736

Mailing address

19316 US Route 11 Ste B
Watertown, NY 13601-6736
Phone (315) 782-0136

Other identifiers 1

IdentifierTypeStateIssuer
01881483MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080402000267 NY Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 6103825534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Watertown PCGroup PAC ID 6901801331, 4 clinicians

Practice addresses (Care Compare)

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.47 of 100Reported as group
Quality
72.75
Improvement activities
40
Cost
75.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Watertown PC Nephrology CurrentSince Jul 1, 1989 Accepting new patients
Mid-Atlantic Nephrology Associates PA Nephrology Past Accepting new patients
Watertown Dialysis Center, LLC PastSince Oct 21, 2008 Accepting new patients

Locations

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

19316 US Route 11
Ste B
Watertown, NY 13601
Phone (315) 782-0136

22571 Summit Dr
#B
Watertown, NY 13601
Phone (315) 779-2140

Interoperability endpoints

  • Direct secure messaging: ksindhu@nephrologyaow.medentdirect.com

Organizations & group practices 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1255371712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19316 US ROUTE 11 STE B",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016736",
            "telephone_number": "315-782-0136",
            "fax_number": "315-782-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19316 US ROUTE 11 STE B",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136016736",
            "telephone_number": "315-782-0136",
            "fax_number": "315-782-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDHU",
        "first_name": "KHALID",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "197030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01881483",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.