Active NPI
Mohinder P. S. Randhawa Jr., M.D
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 35461
- Practice address
- 911 Bypass Rd BLDG a
Pikeville, KY 41501-1689 - Phone
- (606) 430-2201
- Fax
- (606) 218-4651
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | P8300 | TX | |
| Vascular Surgery Physician | 2086S0129X | P8300 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | G86803 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | P8300 | TX | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 35461 | KY | Primary |
Addresses
Primary practice location
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Mailing address
PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-2201
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200513970A | Medicaid | OK | |
| 3289969901 | Medicaid | TX | |
| 64999568 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mrandhawa90370@direct.owensborohealth.org | Owensboro Health Medical Group, Inc | |
| Direct Messaging Address | mrandhawa21884@PIKEVILLEKYDIRECT.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Boston University School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213
4862 Dickenson Hwy
Clintwood, VA 24228-1810
911 Bypass Rd
Pikeville, KY 41501-1689
Hospital & facility affiliations
- Pikeville Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 81.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8300 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients | |
| Heartsouth PLLC | Past | Accepting new patients | |
| Pacific Physician Services, LLC | Past | Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients |
Locations
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
Interoperability endpoints
- mrandhawa90370@direct.owensborohealth.org
- https://api.platform.athenahealth.com/2667/brand/1/csg/1/fhir/r4
- mrandhawa21884@pikevillekydirect.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Pikeville, KY
- NPI 1528195864
-
- Physical Therapist
- Clintwood, VA
- NPI 1871513788
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
-
- Sleep Disorder Diagnostic Clinic/Center
- Whitesburg, KY
- NPI 1871575498
-
- Cardiovascular Disease Physician
- Hattiesburg, MS
- NPI 1316967219
-
- General Practice Physician
- Hattiesburg, MS
- NPI 1285653386
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pikeville, KY
- NPI 1285621623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1851326482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415020432",
"telephone_number": "606-430-2201",
"fax_number": "606-218-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 BYPASS RD BLDG A",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415011689",
"telephone_number": "606-430-2201",
"fax_number": "606-218-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDHAWA",
"first_name": "MOHINDER",
"middle_name": "P. S.",
"name_suffix": "Jr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "P8300",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "P8300",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "G86803",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "P8300",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "35461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200513970A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3289969901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64999568",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrandhawa90370@direct.owensborohealth.org",
"affiliation": "Y",
"affiliationName": "Owensboro Health Medical Group, Inc",
"address_1": "1301 Pleasant Valley Rd",
"address_2": "Suite 201",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423039774",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrandhawa21884@PIKEVILLEKYDIRECT.ORG",
"affiliation": "N",
"endpointDescription": "Direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard direct functionality",
"address_1": "911 Bypass Rd Bldg A",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011689",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.