Active NPI
Jagdeep S Sandhu, M.D.
- Internal Medicine Physician
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME73640
- Practice address
- 519A E Bloomingdale Ave Ste a
Brandon, FL 33511-8105 - Phone
- (813) 655-4100
- Fax
- (813) 655-1775
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73640 | FL | |
| Internal Medicine Physician | 207R00000X | ME73640 | FL | Primary |
Addresses
Primary practice location
519A E Bloomingdale Ave Ste a
Brandon, FL 33511-8105
Mailing address
519 E Bloomingdale Ave Ste a
Brandon, FL 33511-8180
Phone (813) 655-4100
Other practice location 1
13111 US Highway 301 S
Riverview, FL 33578-7401
Phone (813) 671-0064
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010063425 | Other | FL | RAILROAD MEDICARE |
| 42218 | Other | FL | BCBS OF FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
519 E Bloomingdale Ave
Suite a
Brandon, FL 33511-8180
Phone (813) 655-4100
Hospital & facility affiliations
- Pinnacle Home Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73640 | FL | MD | Internal Medicine Physician |
| ME73640 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Brandon-Riverview LLC | Internal Medicine | Current | Accepting new patients |
| Brandon-Riverview Medical Associates PA | Internal Medicine | Current | Accepting new patients |
Locations
519 E Bloomingdale Ave
Ste A
Brandon, FL 33511
Phone (813) 655-4100
13111 US Highway 301 S
Riverview, FL 33578
Phone (813) 671-0064
14690 Spring Hill Dr
Ste 101
Spring Hill, FL 34609
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Brandon, FL
- NPI 1235411000
-
- Internal Medicine Physician
- Riverview, FL
- NPI 1578335535
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tampa, FL
- NPI 1437663465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1528034477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 E BLOOMINGDALE AVE STE A",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118180",
"telephone_number": "813-655-4100",
"fax_number": "813-655-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519A E BLOOMINGDALE AVE STE A",
"city": "BRANDON",
"state": "FL",
"postal_code": "335118105",
"telephone_number": "813-655-4100",
"fax_number": "813-655-1775"
}
],
"practiceLocations": [
{
"address_1": "13111 US Highway 301 S",
"address_purpose": "LOCATION",
"city": "Riverview",
"state": "FL",
"postal_code": "335787401",
"country_code": "US",
"telephone_number": "813-671-0064",
"fax_number": "813-672-2153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDHU",
"first_name": "JAGDEEP",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "73640",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME73640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010063425",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "42218",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.