Active NPI
Hitesh Singh Sandhu, MBBS
- Pediatric Critical Care Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 0000049968
- Practice address
- 3901 Beaubien St
Detroit, MI 48201-2119 - Phone
- (313) 745-5629
- NPI assigned
- Jul 1, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 4301093989 | MI | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 0000049968 | TN | Primary |
Addresses
Primary practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
8841 River Pine Dr
Cordova, TN 38016-7101
Phone (901) 287-4493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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
- Pediatric Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Humphreys Blvd
Memphis, TN 38120-2146
Phone (901) 287-7337
848 Adams Ave
Memphis, TN 38103-2816
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093989 | MI | MD | Pediatric Critical Care Medicine Physician |
| 0000049968 | TN | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Pediatric Critical Care Medicine | Current | Accepting new patients |
Locations
850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594
1407 Union Ave
Ste 200
Memphis, TN 38104
Phone (901) 866-8360
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
Interoperability endpoints
- hsandhu26662@mlh.direct-ci.com
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
Pediatric Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1962630699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8841 RIVER PINE DR",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380167101",
"telephone_number": "901-287-4493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-745-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDHU",
"first_name": "HITESH",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "MI",
"license": "4301093989",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TN",
"license": "0000049968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.