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

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 3

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

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 (4 clinicians)

Practice addresses (Care Compare)

3850 G St
Merced, CA 95340-8787
Phone (209) 564-3600

Hospital & facility affiliations

  • Mercy Medical Center Hospital · Merced, CA · CCN 050444
  • Memorial Hospital Los Banos Hospital · Los Banos, CA · CCN 050528
  • John C Fremont Healthcare District Hospital · Mariposa, CA · CCN 051304

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 IDStateProvider typePAC IDDetails
I20240313003158 CA Practitioner - Internal Medicine 1759422041 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.064190OHMDHematology & Oncology Physician

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Parminder S Sidhu Medical Corporation Hematology & Oncology Current
since Feb 1, 2024
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2320429MedicaidOH

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 13, 2016.

{
    "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

All providers in Lancaster, OH · Hematology & Oncology Physician in Ohio

Sources for this page

Verify at the official NPI Registry.