Individual provider Active NPI

Nosheen Sandhu, MD

  • Family Medicine Physician
  • Clayton, NY
National Provider Identifier
1720725898
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
338855 Issued in NY
Practice address
909 Strawberry LN
Clayton, NY 13624-1409
Phone
(315) 686-2094
Fax
(315) 686-2821
NPI assigned
May 19, 2022
Reactivated
Apr 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 338855 NY Primary

Addresses

Primary practice location

909 Strawberry LN
Clayton, NY 13624-1409

Mailing address

909 Strawberry LN
Clayton, NY 13624-1409
Phone (315) 686-2094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251031001158 NY Practitioner - Family Practice 7012406747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Medical CenterGroup PAC ID 8123914876, 157 clinicians

Practice addresses (Care Compare)

909 Strawberry LN
Clayton, NY 13624-1409
Phone (315) 656-2094

Hospital & facility affiliations

  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Medical Center Current Accepting new patients
Samaritan Medical Center CurrentSince Oct 21, 2025 Accepting new patients
Samaritan Medical Center CurrentSince Oct 21, 2025 Accepting new patients

Locations

10881 US Route 11
Adams, NY 13605
Phone (315) 232-4400

909 Strawberry Ln
Clayton, NY 13624
Phone (315) 686-2094

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

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 1

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": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1720725898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 STRAWBERRY LN",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136241409",
            "telephone_number": "315-686-2094",
            "fax_number": "315-686-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 STRAWBERRY LN",
            "city": "CLAYTON",
            "state": "NY",
            "postal_code": "136241409",
            "telephone_number": "315-686-2094",
            "fax_number": "315-686-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "NOSHEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "deactivation_date": "2023-02-16",
        "reactivation_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "338855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, NY

Sources for this page

Verify at the official NPI Registry.