Individual provider Active NPI

Hardeep Singh Phull, MD

  • Hematology & Oncology Physician
  • Escondido, CA
National Provider Identifier
1306103510
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A123404 Issued in CA
Practice address
2125 Citracado Pkwy Ste 220
Escondido, CA 92029-4159
Phone
(760) 740-2715
Fax
(858) 939-6809
NPI assigned
Apr 12, 2012
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 A123404 CA
Hematology & Oncology Physician 207RH0003X A123404 CA Primary

Addresses

Primary practice location

2125 Citracado Pkwy Ste 220
Escondido, CA 92029-4159

Mailing address

2125 Citracado Pkwy Ste 220
Escondido, CA 92029-4159
Phone (760) 740-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130622000038 CA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 5294974218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

2125 Citracado Pkwy
Suite 220
Escondido, CA 92029-4159
Phone (760) 294-2266

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Arch Health Partners CurrentSince Sep 1, 2021 Accepting new patients
Arch Health Partners, Inc Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

2125 Citracado Pkwy
#220
Escondido, CA 92029

2125 Citracado Pkwy
Ste 220
Escondido, CA 92029
Phone (760) 294-2266

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

Interoperability endpoints

  • Direct secure messaging: hardeep.phull.p1@direct.arch.nextgenshare.com
  • Direct secure messaging: hphull14042@scrippshlth.medalliesdirect.net

Organizations & group practices 4

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 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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1306103510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 CITRACADO PKWY STE 220",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294159",
            "telephone_number": "760-740-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 CITRACADO PKWY STE 220",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294159",
            "telephone_number": "760-740-2715",
            "fax_number": "858-939-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHULL",
        "first_name": "HARDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-12",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A123404",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A123404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.