Individual provider Active NPI

Gurcharan Singh Reen, M.D.

  • Cardiovascular Disease Physician
  • Fremont, CA
National Provider Identifier
1356499578
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A41841 Issued in CA
Practice address
1900 Mowry Ave Ste 101
Fremont, CA 94538-1722
Phone
(510) 790-9047
Fax
(510) 790-9456
NPI assigned
Jan 5, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A41841 CA Primary

Addresses

Primary practice location

1900 Mowry Ave Ste 101
Fremont, CA 94538-1722

Mailing address

1900 Mowry Ave Ste 101
Fremont, CA 94538-1722
Phone (510) 790-9047

Other identifiers 2

IdentifierTypeStateIssuer
2597117MedicaidCA
00A418410OtherCAPROVIDER#

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
I20090807000423 CA Practitioner - Cardiovascular Disease (Cardiology) 1951454966 Reassigns benefits to 1 organization
Practice locations: Fremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 797-1111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Current Accepting new patients
Washington Township Hospital District CurrentSince Apr 12, 2009 Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

Interoperability endpoints

  • Direct secure messaging: green13302@direct.whhs.com

Organizations & group practices 2

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 1

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356499578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE STE 101",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-790-9047",
            "fax_number": "510-790-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MOWRY AVE STE 101",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381722",
            "telephone_number": "510-790-9047",
            "fax_number": "510-790-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEN",
        "first_name": "GURCHARAN",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A41841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2597117",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER#",
            "identifier": "00A418410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.