Individual provider Active NPI

Simranjit Singh Shergill, DO

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1427629385
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SL2400 Issued in NV
Practice address
2880 N Tenaya Way FL 2
Las Vegas, NV 89128-0618
Phone
(702) 480-8916
NPI assigned
Jul 1, 2021
Last updated
Apr 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SL2400 NV Primary
Behavior Technician 106S00000X
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2880 N Tenaya Way FL 2
Las Vegas, NV 89128-0618

Mailing address

PO Box 399318
San Francisco, CA 94139-9318

Other practice location 1

1300 Ethan Way Ste 175
Sacramento, CA 95825-2277
Phone (866) 523-4268

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://kadiant.com/sacramento/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20250626003924 NV Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1355854084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SL2400NVMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: simranjit.shergill@hca3.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1427629385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399318",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941399318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 N TENAYA WAY FL 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280618",
            "telephone_number": "702-480-8916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Ethan Way Ste 175",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958252277",
            "country_code": "US",
            "telephone_number": "866-523-4268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERGILL",
        "first_name": "SIMRANJIT",
        "middle_name": "SINGH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "SL2400",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://kadiant.com/sacramento/",
            "affiliation": "N",
            "address_1": "1300 Ethan Way Ste 175",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958252277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.