Individual provider Active NPI

Rundeep Singh Gadh, D.O.

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1407095615
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS10350 Issued in FL
Practice address
600 S Pine Island Rd Ste 104
Plantation, FL 33324
Phone
(954) 474-4401
Fax
(954) 474-9883
NPI assigned
Feb 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS10350 FL Primary

Addresses

Primary practice location

600 S Pine Island Rd Ste 104
Plantation, FL 33324

Mailing address

4780 SW 64TH Ave Ste 103
Davie, FL 33314-4400
Phone (954) 434-1705

Other identifiers 1

IdentifierTypeStateIssuer
OS10350OtherFLMEDICAL LICENSE

Other names 1

  • Dr. Rick Singh Gadh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090330000547 FL Practitioner - Family Practice 1557428927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associatesmd Medical Group IncGroup PAC ID 6507294311, 38 clinicians

Practice addresses (Care Compare)

4780 Davie Rd
Suite 103
Davie, FL 33314-4400
Phone (954) 434-1705

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS10350FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associatesmd Billing & Management, LLC Family Medicine Current Accepting new patients
Associatesmd Medical Group Inc Family Medicine CurrentSince Feb 1, 2020 Accepting new patients
All Care Medicine, LLC Family Medicine Current Accepting new patients
Associatesmd Medical Group Inc CurrentSince Feb 1, 2020 Accepting new patients
Integrated Care LLC Family Medicine Past Accepting new patients

Locations

4780 SW 64th Ave
Davie, FL 33314

4780 SW 64th Ave
Ste 103
Davie, FL 33314

4780 SW 64th Ave
Ste 101
Davie, FL 33314

600 S Pine Island Rd
Ste 104
Plantation, FL 33324
Phone (954) 447-4401

Organizations & group practices 5

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": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1407095615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 SW 64TH AVE STE 103",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144400",
            "telephone_number": "954-434-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ISLAND RD STE 104",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-474-4401",
            "fax_number": "954-474-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADH",
        "first_name": "RUNDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-11",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS10350",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICK",
            "last_name": "GADH",
            "middle_name": "SINGH",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.