Individual provider Active NPI

Sahdev Saharan, M.D.

  • Rheumatology Physician
  • Tracy, CA
National Provider Identifier
1588875512
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A93889 Issued in CA
Practice address
530 W Eaton Ave
Ste 5
Tracy, CA 95376-3400
Phone
(209) 462-7246
Fax
(209) 462-7247
NPI assigned
May 24, 2007
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A93889 CA Primary

Addresses

Primary practice location

530 W Eaton Ave
Ste 5
Tracy, CA 95376-3400

Mailing address

3031 W March LN
Ste 203
Stockton, CA 95219-6568
Phone (209) 462-7246

Other identifiers 1

IdentifierTypeStateIssuer
01033595MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110725000676 CA Practitioner - RheumatologyPractitioner - Internal Medicine 6204994163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Creighton University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3031 W March LN
Suite 203
Stockton, CA 95219-6568
Phone (209) 462-7246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as group
Quality
85.93
Promoting interoperability
84
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93889CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sahdev Saharan, M.D., Inc. Rheumatology CurrentSince Jun 6, 2011 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

2800 N California St
Ste 5
Stockton, CA 95204
Phone (209) 462-7246

3031 W March Ln
Ste 203
Stockton, CA 95219
Phone (209) 462-7246

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ssaharan16026@hpmg.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1588875512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W MARCH LN",
            "address_2": "STE 203",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196568",
            "telephone_number": "209-462-7246",
            "fax_number": "209-462-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W EATON AVE",
            "address_2": "STE 5",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763400",
            "telephone_number": "209-462-7246",
            "fax_number": "209-462-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHARAN",
        "first_name": "SAHDEV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A93889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01033595",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.