NPIMap

Individual provider Active NPI

Divyajot Singh Sandhu, M.D.

  • Vascular Neurology Physician
  • Sioux Falls, SD
National Provider Identifier
1790915973
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
10053 Issued in SD
Practice address
1210 W 18TH St Ste 100
Sioux Falls, SD 57104-4650
Phone
(605) 312-8500
Fax
(605) 312-8501
NPI assigned
Jul 22, 2009
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 NU
Vascular Neurology Physician 2084V0102X 10053 SD Primary

Addresses

Primary practice location

1210 W 18TH St Ste 100
Sioux Falls, SD 57104-4650

Mailing address

3801 Cooper Dr E
Apt 112
Columbia, MO 65201-7105
Phone (317) 640-4674

Other practice location 1

1 Hospital Dr
Columbia, MO 65201-5276
Phone (573) 882-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170126002503 SD Practitioner - Neurology 6800193681 Reassigns benefits to 2 organizations
I20240628002724 MN Practitioner - Neurology 6800193681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Luke's Hospital of DuluthGroup PAC ID 7113834839, 409 clinicians
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians

Practice addresses (Care Compare)

1015 E 1St St
Duluth, MN 55805-2242
Phone (218) 249-6980

1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200

1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300

4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26538MNMDClinical Social Worker
10053SDMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince May 15, 2024 Accepting new patients
Sanford Medical Center CurrentSince Dec 18, 2016 Accepting new patients
Sanford Clinic CurrentSince Dec 18, 2016 Accepting new patients
Sanford Clinic Current Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Panj Aab Neurovascular Associates Current Accepting new patients
Sanford Clinic CurrentSince Dec 18, 2016 Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
St. Luke's Hospital of Duluth CurrentSince May 15, 2024 Accepting new patients
Sanford Clinic Past Accepting new patients
Sanford Medical Center Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

915 E 1st St
Duluth, MN 55805
Phone (218) 249-5352

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1210 W 18th St
Ste 100
Sioux Falls, SD 57104
Phone (605) 312-8500

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

Interoperability endpoints

  • Direct secure messaging: divyajot.sandhu.sandi@slk.direct.slhduluth.com
  • Direct secure messaging: dsandhu237564@direct.aspirus.org

Organizations & group practices 11

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.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790915973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 COOPER DR E",
            "address_2": "APT 112",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652017105",
            "telephone_number": "317-640-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W 18TH ST STE 100",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044650",
            "telephone_number": "605-312-8500",
            "fax_number": "605-312-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652015276",
            "country_code": "US",
            "telephone_number": "573-882-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "DIVYAJOT",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "SD",
            "license": "10053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.