Individual provider Active NPI

Jaytinder Singh Sandhu, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Irving, TX
National Provider Identifier
1629376264
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2022 Issued in TX
Practice address
2120 N Macarthur Blvd Ste 100
Irving, TX 75061-2260
Phone
(972) 438-4636
Fax
(972) 438-2077
NPI assigned
Mar 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2022 TX Primary

Addresses

Primary practice location

2120 N Macarthur Blvd Ste 100
Irving, TX 75061-2260

Mailing address

2120 N Macarthur Blvd Ste 100
Irving, TX 75061-2260
Phone (972) 438-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000497 TX Practitioner - Podiatry 0547418006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Orthopedics and Sports MedicineGroup PAC ID 4183672652, 13 clinicians

Practice addresses (Care Compare)

2120 N Macarthur Blvd
Suite 100
Irving, TX 75061-2260
Phone 97243846361117

Hospital & facility affiliations

  • Baylor Scott & White Medical Center at Irving Hospital, Irving, TX, CCN 450079
  • Medical City Las Colinas Hospital, Irving, TX, CCN 450822
  • Advanced Dallas Hospitals and Clinics Hospital, Dallas, TX, CCN 670321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue13
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics & Sports Medicine CurrentSince May 2, 2014 Accepting new patients
Precision Orthopedics & Sports Medicine CurrentSince May 2, 2014 Accepting new patients
Elegance Body Enhancement Centers Past Accepting new patients
Northwest Houston Hand Center PA Past Accepting new patients

Locations

2120 N MacArthur Blvd
Ste 100
Irving, TX 75061
Phone (972) 438-4636

245 W State Highway 114
Ste 300
Southlake, TX 76092
Phone (682) 477-4290

Interoperability endpoints

  • Direct secure messaging: jaytinder.sandhu@iasm-tx.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHACCA

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398988800000",
    "number": "1629376264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N MACARTHUR BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612260",
            "telephone_number": "972-438-4636",
            "fax_number": "972-438-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N MACARTHUR BLVD STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612260",
            "telephone_number": "972-438-4636",
            "fax_number": "972-438-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "JAYTINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2014-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.