Individual provider Active NPI

Sonia Randhawa, MD

  • Obstetrics & Gynecology Physician
  • Bay City, MI
National Provider Identifier
1497491955
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301515438 Issued in MI
Practice address
3175 W Professional Drive
Bay City, MI 48706
Phone
(989) 667-3377
NPI assigned
May 9, 2022
Reactivated
Jul 10, 2024
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301515438 MI Primary

Addresses

Primary practice location

3175 W Professional Drive
Bay City, MI 48706

Mailing address

82-68 164TH St Queens Hospital Center
Room 28-21
Jamaica, Queens, NY 11432
Phone (708) 733-3795

Other practice location 1

Icahn School of Medicine Mount Sinai NYC Health & Hospi
82-68, 164th Street
Jamaica, Queens, NY 11432
Phone (718) 833-4037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260605001912 MI Practitioner - Obstetrics/Gynecology 6800367244

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

501 Lapeer Ave
Saginaw, MI 48607-1255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301515438MIMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1497491955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82-68 164TH ST QUEENS HOSPITAL CENTER",
            "address_2": "ROOM 28-21",
            "city": "JAMAICA, QUEENS",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "708-733-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 W PROFESSIONAL DRIVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "48706",
            "telephone_number": "989-667-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Icahn School of Medicine Mount Sinai NYC Health & Hospi",
            "address_2": "82-68, 164th Street",
            "address_purpose": "LOCATION",
            "city": "Jamaica, Queens",
            "state": "NY",
            "postal_code": "11432",
            "country_code": "US",
            "telephone_number": "718-833-4037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "deactivation_date": "2022-12-19",
        "reactivation_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301515438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.