Individual provider Active NPI

Gagandip B Singh, MD

  • Pulmonary Disease Physician
  • Peoria, AZ
National Provider Identifier
1801127568
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
42686 Issued in AZ
Practice address
13634 N 93Rd Ave Ste 100
Peoria, AZ 85381-4915
Phone
(239) 330-3016
Fax
(602) 933-0224
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 42686 AZ Primary

Addresses

Primary practice location

13634 N 93Rd Ave Ste 100
Peoria, AZ 85381-4915

Mailing address

13634 N. 93Rd Ave
Suite 100
Peoria, AZ 85381
Phone (623) 933-0301

Other practice location 1

5750 W Thunderbird Rd Ste G780
Glendale, AZ 85306-4682
Phone (602) 413-0222

Other identifiers 1

IdentifierTypeStateIssuer
558494MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101014000245 AZ Practitioner - Pulmonary Disease 8325180888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Medical Management LLCGroup PAC ID 4880586437, 10 clinicians

Practice addresses (Care Compare)

13634 N 93Rd Ave
Suite 100
Peoria, AZ 85381-4915
Phone (623) 933-0301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.5 of 100Reported as group
Quality
71.19
Improvement activities
40
Cost
78.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42686AZMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Brooklyn Medical Group PC Internal Medicine Past Accepting new patients

Organizations & group practices 2

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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1801127568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13634 N. 93RD AVE",
            "address_2": "SUITE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-933-0301",
            "fax_number": "623-933-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE STE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814915",
            "telephone_number": "239-330-3016",
            "fax_number": "602-933-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5750 W Thunderbird Rd Ste G780",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853064682",
            "country_code": "US",
            "telephone_number": "602-413-0222",
            "fax_number": "602-314-5631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "GAGANDIP",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "42686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "558494",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.