Individual provider Active NPI

Amardeep K Sandhu, M.D.

  • Pediatrics Physician
  • Greenville, TX
National Provider Identifier
1295962918
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N5995 Issued in TX
Practice address
4211 Joe Ramsey Blvd E Ste 213
Greenville, TX 75401-7857
Phone
(903) 408-7780
Fax
(903) 408-7840
NPI assigned
Jun 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A108389 CA
Pediatrics Physician 208000000X N5995 TX Primary

Addresses

Primary practice location

4211 Joe Ramsey Blvd E Ste 213
Greenville, TX 75401-7857

Mailing address

4211 Joe Ramsey Blvd E Ste 213
Greenville, TX 75401-7857
Phone (903) 408-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asandhu264288@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160421002323 TX Practitioner - Pediatric Medicine 9032422191 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108389CAMDPediatrics Physician
N5995TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 1, 2016 Accepting new patients
Healthtexas Provider Network Pediatrics Current Accepting new patients
Healthtexas Provider Network CurrentSince Jun 1, 2016 Accepting new patients

Locations

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4400 Interstate Highway 30 W
Ste 110
Greenville, TX 75402
Phone (469) 800-3600

4211 Joe Ramsey Blvd E
Ste 213
Greenville, TX 75401
Phone (903) 408-7940

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1295962918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD E STE 213",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017857",
            "telephone_number": "903-408-7700",
            "fax_number": "903-408-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 JOE RAMSEY BLVD E STE 213",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017857",
            "telephone_number": "903-408-7780",
            "fax_number": "903-408-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "AMARDEEP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-20",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A108389",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N5995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asandhu264288@direct.sw.org",
            "affiliation": "N",
            "address_1": "4400 I H 30 W Ste 110",
            "city": "Greenville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "754024622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.