Individual provider Active NPI

Harmandeep Kaur Sra, M.D.

  • Hospitalist Physician
  • Toledo, OH
National Provider Identifier
1669096202
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35148093 Issued in OH
Practice address
2213 Cherry Street, Acc Building, 1St Floor, Mercy St.
Toledo, OH 43608
Phone
(419) 251-4744
Fax
(419) 251-6795
NPI assigned
May 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35148093 OH
Hospitalist Physician 208M00000X 35148093 OH Primary

Addresses

Primary practice location

2213 Cherry Street, Acc Building, 1St Floor, Mercy St.
Toledo, OH 43608

Mailing address

730 Riverside Drive
Apartment 212
Toledo, OH 43605
Phone (516) 406-7206

Other names 1

  • Harmandeep Kaur Sra Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230919001642 OH Practitioner - Internal Medicine 2668836057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians North Specialty Care LLCGroup PAC ID 1951707884, 345 clinicians

Practice addresses (Care Compare)

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-8019

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35148093OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC Hospitalist CurrentSince Jul 30, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jul 30, 2023 Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients

Locations

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2213 Cherry St
Unit B
Toledo, OH 43608
Phone (419) 251-5155

2213 Cherry St
Bldg 1ST
Toledo, OH 43608
Phone (419) 251-4724

Organizations & group practices 3

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 1

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1669096202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 RIVERSIDE DRIVE",
            "address_2": "APARTMENT 212",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43605",
            "telephone_number": "516-406-7206",
            "fax_number": "419-251-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY STREET, ACC BUILDING, 1ST FLOOR, MERCY ST.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-4744",
            "fax_number": "419-251-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRA",
        "first_name": "HARMANDEEP KAUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-07-20",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35148093",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35148093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARMANDEEP KAUR",
            "last_name": "SRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.