Individual provider Active NPI

Simran Sandhu, M.D.

  • Diagnostic Radiology Physician
  • Bethesda, MD
National Provider Identifier
1891896601
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D68137 Issued in MD
Practice address
4494 N Palmer Rd
Bethesda, MD 20889-3629
Phone
(301) 295-4000
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 237253 NY
Diagnostic Radiology Physician 2085R0202X D68137 MD Primary

Addresses

Primary practice location

4494 N Palmer Rd
Bethesda, MD 20889-3629

Mailing address

PO Box 37619
Baltimore, MD 21297-3619
Phone (443) 917-2855

Other practice location 1

10700 Charter Dr
Suite 110
Columbia, MD 21044-3629
Phone (443) 917-2855

Other identifiers 2

IdentifierTypeStateIssuer
237253OtherNYNY LICENSE
D68137OtherMDMARYLAND LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090130000242 MD Practitioner - Diagnostic Radiology 5698776722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charter Radiology LLCGroup PAC ID 8426287087, 6 clinicians

Practice addresses (Care Compare)

10700 Charter Dr
Suite 110
Columbia, MD 21044-3631
Phone (443) 917-2855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as group
Quality
63.13
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D68137MDMDDiagnostic Radiology Physician
237253NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Radiology LLC Diagnostic Radiology CurrentSince Apr 28, 2024 Accepting new patients
Charter Radiology, LLC Diagnostic Radiology CurrentSince Dec 3, 2015 Accepting new patients
Verrazano Radiology Asociates, PC Diagnostic Radiology Past Accepting new patients
Goethals Radiology PC Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10 Little Brook Rd
West Wareham, MA 02576

10700 Charter Dr
Ste 110
Columbia, MD 21044

116 Westminster Pike
Ste 104
Reisterstown, MD 21136
Phone (443) 917-2850

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.

Hospital & facility affiliations 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1891896601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37619",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973619",
            "telephone_number": "443-917-2855",
            "fax_number": "410-346-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 N PALMER RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208893629",
            "telephone_number": "301-295-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10700 Charter Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210443629",
            "country_code": "US",
            "telephone_number": "443-917-2855",
            "fax_number": "410-346-5775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDHU",
        "first_name": "SIMRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "237253",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D68137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "237253",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND LICENSE",
            "identifier": "D68137",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.