Active NPI
Inderpreet Singh Sekhon, MD
- Nephrology Physician
- Granite Bay, CA
National Provider Identifier
1720012883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A106754
- Practice address
- 9143 Cedar Ridge Dr
Granite Bay, CA 95746-7234 - Phone
- (916) 872-4919
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 48567 | WI | |
| Nephrology Physician | 207RN0300X | A106754 | CA | Primary |
Addresses
Primary practice location
9143 Cedar Ridge Dr
Granite Bay, CA 95746-7234
Mailing address
9143 Cedar Ridge Dr
Granite Bay, CA 95746-7234
Phone (916) 872-4919
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00266289 | Other | WI | MEDICARE RR |
| 34802300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (877) 511-8777
800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (877) 511-8777
Hospital & facility affiliations
- Adventist Health Sonora
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48567 | WI | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insat Telemed Corporation a Professional Corporation | Nephrology | Current | Accepting new patients |
| United Indian Health Services, Inc. | Past | Accepting new patients | |
| Froedtert South, Inc. | Past | Accepting new patients |
Locations
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
4120 Douglas Blvd
Ste 306
Granite Bay, CA 95746
5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693
Interoperability endpoints
- isekhon352688@hisp.ehr.sutterhealth.org
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.
-
- Nephrology Physician
- Crescent City, CA
- NPI 1629784152
WA
-
- Federally Qualified Health Center (FQHC)
- Crescent City, CA
- NPI 1497840656
-
- Primary Care Clinic/Center
- Arcata, CA
- NPI 1497751572
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1720012883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9143 CEDAR RIDGE DR",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957467234",
"telephone_number": "916-872-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9143 CEDAR RIDGE DR",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957467234",
"telephone_number": "916-872-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEKHON",
"first_name": "INDERPREET",
"middle_name": "SINGH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WI",
"license": "48567",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A106754",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00266289",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34802300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.