Individual provider Active NPI

Rawel Singh Randhawa, M.D.

  • Gastroenterology Physician
  • Riverside, CA
National Provider Identifier
1689781361
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
21585 Issued in WI
Practice address
1385 Halifax Dr
Riverside, CA 92506-4017
Phone
(623) 262-1171
NPI assigned
Aug 25, 2006
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101246947 VA
Internal Medicine Physician 207R00000X 24657 AZ
Internal Medicine Physician 207R00000X A45944 CA
Internal Medicine Physician 207R00000X MD60709322 WA
Internal Medicine Physician 207R00000X C0140 KY
Gastroenterology Physician 207RG0100X A45944 CA
Gastroenterology Physician 207RG0100X MD60709322 WA
Gastroenterology Physician 207RG0100X 0101246947 VA
Gastroenterology Physician 207RG0100X 24657 AZ
Gastroenterology Physician 207RG0100X C0140 KY
Gastroenterology Physician 207RG0100X 21585 WI Primary

Addresses

Primary practice location

1385 Halifax Dr
Riverside, CA 92506-4017

Mailing address

1385 Halifax Dr
Riverside, CA 92506-4017
Phone (623) 262-1171

Other practice location 1

225 Medical Center Dr Ste 308
Paducah, KY 42003-7915
Phone (270) 443-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, WA, ND, MT5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160209002667 CA Practitioner - Gastroenterology 4789602715 Reassigns benefits to 3 organizations
I20170124002425 NM Practitioner - GastroenterologyPractitioner - Internal Medicine 4789602715 Reassigns benefits to 1 organization
I20190613000964 WA Practitioner - GastroenterologyPractitioner - Internal Medicine 4789602715 Reassigns benefits to 1 organization
I20241120003591 ND Practitioner - Gastroenterology 4789602715 Reassigns benefits to 1 organization
I20241126003891 MT Practitioner - Gastroenterology 4789602715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Alexius Medical CenterGroup PAC ID 8426960865, 239 clinicians

Practice addresses (Care Compare)

105 W 8TH Ave
Suite 7050
Spokane, WA 99204-2362
Phone (509) 252-1711

900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy32
Upper gastrointestinal (GI) endoscopy for acid reflux66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24657AZMDInternal Medicine Physician
A45944CAMDInternal Medicine Physician
21585WIMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Alexius Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Providence Health & Services Washington CurrentSince May 15, 2025 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
Billings Clinic CurrentSince Nov 20, 2024 Accepting new patients
Providence Health & Services Washington Internal Medicine CurrentSince May 15, 2025 Accepting new patients
St. Alexius Medical Center Specialist CurrentSince Dec 2, 2024 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Feb 1, 2017 Accepting new patients
San Joaquin Faculty Medical Group Internal Medicine CurrentSince Jan 19, 2016 Accepting new patients
Digestive & Liver Diseases, P.C. Specialist CurrentSince Jun 30, 2008 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Mar 10, 2018 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic Internal Medicine CurrentSince Nov 20, 2024 Accepting new patients
Enloe Medical Center Gastroenterology CurrentSince Mar 11, 2022 Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Enloe Medical Center CurrentSince Mar 11, 2022 Accepting new patients
Amplify ABA Consulting LLC CurrentSince Nov 10, 2024 Accepting new patients
Delta Sierra Medical Group, Inc PastSince Dec 7, 2025 Accepting new patients
Bullhead City Clinic Corp Past Accepting new patients
Mercy Health Physicians Kentucky LLC Gastroenterology Past Accepting new patients
Bullhead City Clinic Corp Gastroenterology PastSince Apr 1, 2009 Accepting new patients

Locations

12361 W Bola Dr
Ste 108
Surprise, AZ 85378
Phone (623) 745-0828

111 Raley Blvd
Ste 100
Chico, CA 95928
Phone (530) 332-3986

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

3715 Southern Blvd SE
Rio Rancho, NM 87124
Phone (505) 462-6000

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

105 W 8th Ave
Ste 7050
Spokane, WA 99204
Phone (509) 252-1711

Interoperability endpoints

  • Direct secure messaging: rrandhawa1131078@wm.providencedirect.org
  • Direct secure messaging: rrandhawa63883@enloedirect.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 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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1689781361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 HALIFAX DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064017",
            "telephone_number": "623-262-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 HALIFAX DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064017",
            "telephone_number": "623-262-1171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Medical Center Dr Ste 308",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037915",
            "country_code": "US",
            "telephone_number": "270-443-0777",
            "fax_number": "270-443-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "RAWEL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101246947",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "24657",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45944",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60709322",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "C0140",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A45944",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD60709322",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101246947",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AZ",
            "license": "24657",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "C0140",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WI",
            "license": "21585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.