Individual provider Active NPI

Sandeep Randhawa, MD

  • Retina Specialist (Ophthalmology) Physician
  • Royal Oak, MI
National Provider Identifier
1841486172
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
4301087924 Issued in MI
Practice address
3555 W 13 Mile Rd
LL-20
Royal Oak, MI 48073-6710
Phone
(248) 288-2280
Fax
(248) 288-5644
NPI assigned
Sep 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301087924 MI
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301087924 MI Primary

Addresses

Primary practice location

3555 W 13 Mile Rd
LL-20
Royal Oak, MI 48073-6710

Mailing address

39650 Orchard Hill PL
Ste 200
Novi, MI 48375-5391
Phone (248) 319-0161

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srandhawa@arcmi.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150513000936 MI Practitioner - Ophthalmology 5597944405 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants PCGroup PAC ID 2264344746, 30 clinicians

Practice addresses (Care Compare)

13383 Reeck CT
Suite 2C
Southgate, MI 48195-3054
Phone (734) 720-0906

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710
Phone (248) 288-2280

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712

3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058

36650 Five Mile Rd
Suite 102
Livonia, MI 48154-1956
Phone (734) 464-2300

4050 River Rd
East China, MI 48054-2931
Phone (810) 329-9045

4656 24TH Ave
Fort Gratiot, MI 48059-3402
Phone (810) 385-3600

860 E Front St
Traverse City, MI 49686-2704
Phone (231) 938-0710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.37 of 100Reported as group
Quality
66.73
Promoting interoperability
100
Improvement activities
40
Cost
70.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087924MIMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Retinal Consultants, PC Ophthalmology CurrentSince Jul 1, 2015 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince May 26, 2018 Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients
Diabetes Reimbursement Specialists Ophthalmology Past Accepting new patients
Alliance Physicians Inc Past Accepting new patients

Locations

4050 S River Rd
East China, MI 48054
Phone (810) 329-9045

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

4656 24th Ave
Fort Gratiot, MI 48059
Phone (810) 385-3600

36650 5 Mile Rd
Ste 102
Livonia, MI 48154
Phone (734) 464-2300

3555 W 13 Mile Rd
#20
Royal Oak, MI 48073
Phone (248) 288-2269

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

3555 W 13 Mile Rd
Ste LL20
Royal Oak, MI 48073
Phone (248) 288-2280

13383 Reeck Ct
Ste 2C
Southgate, MI 48195
Phone (734) 720-0906

860 E Front St
Traverse City, MI 49686
Phone (231) 938-0710

2000 N Huron River Dr
Ste 100
Ypsilanti, MI 48197
Phone (734) 572-1200

Interoperability endpoints

  • Direct secure messaging: srandhawa393254@direct.hfhs.org
  • Direct secure messaging: srandhawa1252251@epic00.shdirect.org

Organizations & group practices 5

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 3

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1841486172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39650 ORCHARD HILL PL",
            "address_2": "STE 200",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483755391",
            "telephone_number": "248-319-0161",
            "fax_number": "248-319-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W 13 MILE RD",
            "address_2": "LL-20",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-2280",
            "fax_number": "248-288-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "SANDEEP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301087924",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301087924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srandhawa@arcmi.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "3555 W 13 Mile Rd",
            "address_2": "LL-20",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.