NPIMap

Individual provider Active NPI

Kanwaldeep Singh Randhawa, M.D.

  • Pulmonary Disease Physician
  • Roseville, CA
National Provider Identifier
1982817755
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A92776 Issued in CA
Practice address
5 Medical Plaza Dr
Suite 190
Roseville, CA 95661-2865
Phone
(916) 786-7498
Fax
(916) 786-2715
NPI assigned
May 8, 2007
Last updated
Jul 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A92776 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A92776 CA
Pulmonary Disease Physician 207RP1001X A92776 CA Primary

Addresses

Primary practice location

5 Medical Plaza Dr
Suite 190
Roseville, CA 95661-2865

Mailing address

1300 Ethan Way
Ste 600
Sacramento, CA 95825-2296
Phone (916) 786-7498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090126000194 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9739243460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of California, Davis School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Medicine Associates Medical Group Inc.Group PAC ID 4981506730, 93 clinicians
All Inclusive Medical Services Urgent Care, IncGroup PAC ID 3274930565, 9 clinicians

Practice addresses (Care Compare)

1485 River Park Dr
Suite 200
Sacramento, CA 95815-4530
Phone (916) 325-1040

7811 Laguna Blvd
Suite 161
Elk Grove, CA 95758-7949
Phone (916) 909-2467

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.36 of 100Reported as individual
Quality
90
Promoting interoperability
100
Improvement activities
30
Cost
78.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92776CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine Associates Sleep Lab Inc. Pulmonary Disease CurrentSince Dec 1, 2008 Accepting new patients
Pulmonary Medicine Associates Medical Group, Inc Critical Care Medicine CurrentSince Dec 1, 2008 Accepting new patients
All Inclusive Medical Services Urgent Care, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Sutter Regional Medical Foundation Family Medicine Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

5900 Coyle Ave
Ste B
Carmichael, CA 95608
Phone (916) 349-7600

6403 Coyle Ave
Ste 450
Carmichael, CA 95608
Phone (916) 482-7621

7811 Laguna Blvd
Ste 161
Elk Grove, CA 95758
Phone (916) 877-7778

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

5 Medical Plaza Dr
Ste 190
Roseville, CA 95661
Phone (916) 679-3590

1300 Ethan Way
Ste 600
Sacramento, CA 95825
Phone (916) 482-7623

1485 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 325-1040

Interoperability endpoints

  • Direct secure messaging: krandhawa43853@hisp.ehr.sutterhealth.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, 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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1982817755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 ETHAN WAY",
            "address_2": "STE 600",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252296",
            "telephone_number": "916-786-7498",
            "fax_number": "916-786-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MEDICAL PLAZA DR",
            "address_2": "SUITE 190",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612865",
            "telephone_number": "916-786-7498",
            "fax_number": "916-786-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "KANWALDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92776",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A92776",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A92776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.