Individual provider Active NPI

Jatinder Singh, MD

  • Internal Medicine Physician
  • Waynesboro, MS
National Provider Identifier
1356310536
Registry record updated Nov 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10791 Issued in MS
Practice address
920 Matthew Dr
Waynesboro, MS 39367-2553
Phone
(601) 735-2281
Fax
(601) 735-2281
NPI assigned
Mar 17, 2006
Last updated
Nov 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10791 MS Primary

Addresses

Primary practice location

920 Matthew Dr
Waynesboro, MS 39367-2553

Mailing address

920 Matthew Dr
Waynesboro, MS 39367-2553
Phone (601) 735-2281

Other identifiers 1

IdentifierTypeStateIssuer
00016697MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040816000519 MS Practitioner - Emergency Medicine 4688647977 Practice locations: Waynesboro, MS

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10791MSMDInternal Medicine Physician
10794MSMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259280000000",
    "number": "1356310536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672553",
            "telephone_number": "601-735-2281",
            "fax_number": "601-735-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MATTHEW DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672553",
            "telephone_number": "601-735-2281",
            "fax_number": "601-735-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "JATINDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "10791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00016697",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, MS

Sources for this page

Verify at the official NPI Registry.