Individual provider Active NPI

Mandeep Singh, M.D

  • Internal Medicine Physician
  • Northport, NY
National Provider Identifier
1689825614
Registry record updated Jun 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200900708 Issued in NC
Practice address
79 Middleville Rd
Mail Code 111
Northport, NY 11768-2200
Phone
(631) 261-4400
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 200900708 NC Primary

Addresses

Primary practice location

79 Middleville Rd
Mail Code 111
Northport, NY 11768-2200

Mailing address

79 Middleville Rd
Mail Code 111
Northport, NY 11768-2200
Phone (631) 261-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141002000397 TX Practitioner - Internal MedicinePractitioner - Nephrology 2567511389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Kidney Care PLLCGroup PAC ID 8123345691, 3 clinicians

Practice addresses (Care Compare)

2416 Swamy Dr
Suite 110
Sherman, TX 75090-2772
Phone (903) 357-5419

5012 S US Hwy 75
Suite 270
Denison, TX 75020-4597

Hospital & facility affiliations

  • Texoma Dialysis Center Dialysis facility, Sherman, TX, CCN 742567
  • Texoma Medical Center Hospital, Denison, TX, CCN 450324
  • TMC- Bonham Hospital Hospital, Bonham, TX, CCN 451370
  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014

Merit-based Incentive Payment System (MIPS)

Final score
20.51 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200900708NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman Grayson Hospital LLC Current Accepting new patients
Sooner Inpatient Services LLC Internal Medicine Past Accepting new patients
Midwest Hospitalists Services PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mandeepsingh@wnjrmc.allscriptsdirect.net

Organizations & group practices 4

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 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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1689825614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "address_2": "MAIL CODE 111",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "address_2": "MAIL CODE 111",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "MANDEEP",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200900708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, NY

Sources for this page

Verify at the official NPI Registry.