Individual provider Active NPI

Mandeep Hundal, M.D

  • Pulmonary Disease Physician
  • Leominster, MA
National Provider Identifier
1811153489
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
247723 Issued in MA
Practice address
100 Hospital Rd Ste 2a
Leominster, MA 01453-2253
Phone
(978) 466-2692
Fax
(978) 466-4754
NPI assigned
Aug 4, 2008
Last updated
Dec 31, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 247723 MA
Hospitalist Physician 208M00000X 042-0011851 VT
Internal Medicine Physician 207R00000X 247723 MA
Pulmonary Disease Physician 207RP1001X 247723 MA Primary

Addresses

Primary practice location

100 Hospital Rd Ste 2a
Leominster, MA 01453-2253

Mailing address

PO Box 726
Leominster, MA 01453-0726
Phone (774) 420-2642

Other practice location 1

60 Hospital Rd
Leominster, MA 01453-2205
Phone (978) 466-4169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120220000635 MA Practitioner - Internal Medicine 3870660368 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Lung and Allergy PCGroup PAC ID 5698830347, 10 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Suite 2a
Leominster, MA 01453-2253
Phone (978) 466-2692

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
247723MAMDInternal Medicine Physician
042-0011851VTMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 24, 2016 Accepting new patients
Emerson Practice Associates, Inc. Internal Medicine CurrentSince Nov 28, 2011 Accepting new patients
Steward Medical Group, Inc CurrentSince Oct 24, 2016 Accepting new patients
Mass Lung & Allergy, PC. Pulmonary Disease CurrentSince Oct 1, 2018 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Umass Memorial Healthalliance Clinton Hospital Inc Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

100 Hospital Rd
Ste 2A
Leominster, MA 01453
Phone (978) 466-2692

60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000

159 Union St
Ste 102
Marlborough, MA 01752
Phone (508) 481-0610

67 Union St
Natick, MA 01760
Phone (508) 383-1104

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

Organizations & group practices 7

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 7

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1811153489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014530726",
            "telephone_number": "774-420-2642",
            "fax_number": "774-420-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 2A",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532253",
            "telephone_number": "978-466-2692",
            "fax_number": "978-466-4754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014532205",
            "country_code": "US",
            "telephone_number": "978-466-4169",
            "fax_number": "978-466-4164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNDAL",
        "first_name": "MANDEEP",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "247723",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VT",
            "license": "042-0011851",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "247723",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "247723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.