Kanwaljit Singh, MD
Individual provider Active NPI Hematology & Oncology Physician · Lancaster, OH
NPI 1679765770 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1679765770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 35.064190 (OH)
- Practice address
- 135 N Ewing St
Suite 304
Lancaster, OH 43130-3382 - Phone
- (740) 687-4505
- Fax
- (740) 687-8629
- NPI assigned
- Aug 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parminder S Sidhu Medical Corporation
Practice addresses (Care Compare)
3850 G St
Merced, CA 95340-8787
Phone (209) 564-3600
Hospital & facility affiliations
- Mercy Medical Center
- Memorial Hospital Los Banos
- John C Fremont Healthcare District
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240313003158 | CA | Practitioner - Internal Medicine | 1759422041 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.064190 | OH | MD | Hematology & Oncology Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parminder S Sidhu Medical Corporation | Hematology & Oncology | Current |
Accepting new patients |
Locations
3850 G St
Merced, CA 95340
Phone (209) 384-6528
220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 35.064190 | OH | Yes |
Addresses
Primary practice location
135 N Ewing St
Suite 304
Lancaster, OH 43130-3382
Mailing address
1153 E Main St
PO Box 2563
Lancaster, OH 43130-4056
Phone (740) 687-8990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2320429 | Medicaid | OH |
NPI Registry JSON
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1679765770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 E MAIN ST",
"address_2": "PO BOX 2563",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431304056",
"telephone_number": "740-687-8990",
"fax_number": "740-687-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N EWING ST",
"address_2": "SUITE 304",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303382",
"telephone_number": "740-687-4505",
"fax_number": "740-687-8629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGH",
"first_name": "KANWALJIT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-13",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35.064190",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2320429",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
- Kevin Simpson
- Emily Sims
- Melissa Marie Sims
- Avneet Singh
- Brandon Navin Singh
- Shantanu Sinha
- Teresa Durbak Sipos
- Keisha Dawn Skaggs
- Kelly Skaggs
- Amanda Lea Slater
All providers in Lancaster, OH · Hematology & Oncology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.