Individual provider Active NPI

Sandeep Pandove, MD

  • Internal Medicine Physician
  • Hemet, CA
National Provider Identifier
1679511059
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DOO48244 Issued in MD
Practice address
880 N State St
Hemet, CA 92543
Phone
(951) 766-2450
NPI assigned
Jun 4, 2006
Last updated
Aug 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DOO48244 MD Primary

Addresses

Primary practice location

880 N State St
Hemet, CA 92543

Mailing address

12380 Alamo Dr
Rancho Cucamonga, CA 91739-2290
Phone (714) 803-4586

Other practice location 1

4001
highway 104
Ione, CA 95640
Phone (209) 274-4911

Other practice location 2

4001
highway 104
Ione, CA 95640
Phone (209) 274-4911

Other practice location 3

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (714) 803-4586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, WY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110920000134 MD Practitioner - Internal Medicine 4981608429 Reassigns benefits to 3 organizations
I20110930000175 DC Practitioner - Internal Medicine 4981608429 Reassigns benefits to 2 organizations
I20241101000286 WY Practitioner - Internal Medicine 4981608429 Reassigns benefits to 3 organizations

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
Summit Hospitalist Group LLCGroup PAC ID 8527445824, 47 clinicians

Practice addresses (Care Compare)

1000 E Eager St
E Baltimore Med Ctr
Baltimore, MD 21202-5533
Phone (410) 522-9800

214 E 23Rd St
Cheyenne, WY 82001-3748
Phone (307) 324-2221

5755 Cedar LN
Columbia, MD 21044-2912
Phone (410) 884-4644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
80.47
Promoting interoperability
100
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOO48244MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Johns Hopkins Community Physicians Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Summit Hospitalist Group LLC CurrentSince May 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince May 1, 2019 Accepting new patients
Summit Medical Group, LLC CurrentSince May 15, 2025 Accepting new patients
Johns Hopkins Community Physicians, Inc Internal Medicine Current Accepting new patients
Campbell County Hospital District Internal Medicine Current Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince May 1, 2020 Accepting new patients
Campbell County Hospital District Current Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Campbell County Hospital District CurrentSince Nov 1, 2024 Accepting new patients
Howard County General Hospital, Inc, Past Accepting new patients
Memorial Hospital of Laramie County Past Accepting new patients
S Pannu Inc Internal Medicine Past Accepting new patients
Wyatt Clinic, P.a. Internal Medicine Past Accepting new patients
Baltimore Washington Professional Services Inc. Internal Medicine Past Accepting new patients

Locations

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

214 E 23rd St
Cheyenne, WY 82001
Phone (307) 324-2221

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

255 N 30th St
Laramie, WY 82072
Phone (307) 742-2141

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

Interoperability endpoints

  • Direct secure messaging: spandove649802@direct.hopkinsmedicine.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1679511059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 ALAMO DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392290",
            "telephone_number": "714-803-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "92543",
            "telephone_number": "951-766-2450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001",
            "address_2": "highway 104",
            "address_purpose": "LOCATION",
            "city": "Ione",
            "state": "CA",
            "postal_code": "95640",
            "country_code": "US",
            "telephone_number": "209-274-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001",
            "address_2": "highway 104",
            "address_purpose": "LOCATION",
            "city": "Ione",
            "state": "CA",
            "postal_code": "95640",
            "country_code": "US",
            "telephone_number": "209-274-4911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615803",
            "country_code": "US",
            "telephone_number": "714-803-4586",
            "fax_number": "866-908-1231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDOVE",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "DOO48244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.