Active NPI
Gurdeep Singh, M.D.
- Nephrology Physician
- Brecksville, OH
National Provider Identifier
1427242684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 35 . 039689
- Practice address
- 2643 Hidden Canyon Dr
Brecksville, OH 44141-3533 - Phone
- (440) 717-9907
- Fax
- (440) 717-9908
- NPI assigned
- Aug 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 35 . 039689 | OH | Primary |
Addresses
Primary practice location
2643 Hidden Canyon Dr
Brecksville, OH 44141-3533
Mailing address
2643 Hidden Canyon Dr
Brecksville, OH 44141-3533
Phone (440) 717-9907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026001678 | OH | Order and Referring Only - Internal Medicine | 5597043513 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 . 039689 | OH | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1427242684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2643 HIDDEN CANYON DR",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413533",
"telephone_number": "440-717-9907",
"fax_number": "440-717-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2643 HIDDEN CANYON DR",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441413533",
"telephone_number": "440-717-9907",
"fax_number": "440-717-9908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "GURDEEP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-30",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "35 . 039689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brecksville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.