Organization Active NPI

Jatinder Singh Purewal,MD,PC

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Phoenix, AZ
National Provider Identifier
1780891135
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
36732 Issued in AZ
Legal business name
JATINDER SINGH PUREWAL,MD,PC
Practice address
28416 N 25 TH Dale
Phoenix, AZ 85085-3721
Phone
(623) 521-6785
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Dr. Jatinder Singh Purewal, M.D.NPI 1790803237
Title
President
Phone
(623) 521-6785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081H0002X 36732 AZ Primary

Addresses

Primary practice location

28416 N 25 TH Dale
Phoenix, AZ 85085-3721

Mailing address

28416 N 25 TH Dale
Phoenix, AZ 85085-3721
Phone (623) 521-6785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070604000060 AZ Part B Supplier - Clinic/Group Practice 3375641137 Receives reassigned benefits from 1 practitioner
Practice locations: Surprise, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1780891135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28416 N 25 TH DALE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850853721",
            "telephone_number": "623-521-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28416 N 25 TH DALE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850853721",
            "telephone_number": "623-521-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JATINDER SINGH PUREWAL,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "PUREWAL",
        "authorized_official_first_name": "JATINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-521-6785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "36732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.