Active NPI
Jagroop Singh Khaira
- Internal Medicine Physician
- Cheverly, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60712876
- Practice address
- 3001 Hospital Drive, 5TH Floor
Prince George'S Hospital Center(Department of Medicine)
Cheverly, MD 20785 - Phone
- (301) 618-3776
- Fax
- (301) 618-2986
- NPI assigned
- Jun 26, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60712876 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3001 Hospital Drive, 5TH Floor
Prince George'S Hospital Center(Department of Medicine)
Cheverly, MD 20785
Mailing address
3001 Hospital Drive, 5TH Floor
Prince George'S Hospital Center(Department of Medicine)
Cheverly, MD 20785
Phone (301) 618-3776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2010
- 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
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60712876 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1831366566
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
-
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1336554591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 HOSPITAL DRIVE, 5TH FLOOR",
"address_2": "PRINCE GEORGE'S HOSPITAL CENTER(DEPARTMENT OF MEDICINE)",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "20785",
"telephone_number": "301-618-3776",
"fax_number": "301-618-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HOSPITAL DRIVE, 5TH FLOOR",
"address_2": "PRINCE GEORGE'S HOSPITAL CENTER(DEPARTMENT OF MEDICINE)",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "20785",
"telephone_number": "301-618-3776",
"fax_number": "301-618-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAIRA",
"first_name": "JAGROOP",
"middle_name": "SINGH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-26",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60712876",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheverly, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.