Individual provider Active NPI

Mandeep Singh Randhawa, M.D.

  • Interventional Cardiology Physician
  • Houston, TX
National Provider Identifier
1255562138
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
S9388 Issued in TX
Practice address
7789 Southwest Fwy Ste 540
Houston, TX 77074-1835
Phone
(713) 486-1110
NPI assigned
Jul 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57-015856 OH
Interventional Cardiology Physician 207RI0011X S9388 TX Primary

Addresses

Primary practice location

7789 Southwest Fwy Ste 540
Houston, TX 77074-1835

Mailing address

7403 Sadler CT
Sugar Land, TX 77479-3343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 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
I20190703002789 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173783214 Reassigns benefits to 1 organization
I20210421000527 TX Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 3173783214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-0093

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
  • Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57-015856OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Jun 30, 2019 Accepting new patients
Ut Physicians CurrentSince Feb 1, 2021 Accepting new patients
Promed Healthcare CurrentSince Jun 30, 2019 Accepting new patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

6500 West Loop S
Ste 200G
Bellaire, TX 77401
Phone (713) 486-6520

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

7789 Southwest Fwy
Ste 540
Houston, TX 77074
Phone (713) 486-1110

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Interoperability endpoints

  • Direct secure messaging: mrandhawa54835@memorialhermann.direct-ci.com
  • Direct secure messaging: mrandhawa367625@directhoustonmethodist.org

Organizations & group practices 6

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 9

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": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1255562138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7403 SADLER CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7789 SOUTHWEST FWY STE 540",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741835",
            "telephone_number": "713-486-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "MANDEEP",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57-015856",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "S9388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.