SUPINDER KAUR RANDHAWA (NP) – Nurse Practitioner, NPI 1821474230

SUPINDER KAUR RANDHAWA (NP) is a healthcare provider. based in Sacramento, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95002473 (CA). The NPI Number for SUPINDER KAUR RANDHAWA (NP) is 1821474230

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SUPINDER KAUR RANDHAWA (NP)
NPI
1821474230
Phone
(916) 646-6676
Address
2625 FAIR OAKS BLVD
Enumeration Date
7 August 2015
Last Update Date
20 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167847546104
Graduation Year
2015 (11 years ago)
PAC ID
1951619121
Group Practice PAC ID
5991717936
Professional Enrollment ID
I20151008000039
Address ID
CA957477143RO1412XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for SUPINDER KAUR RANDHAWA (NP)

  • 2625 FAIR OAKS BLVD

    SACRAMENTO, CA 958644936

    Phone: (916) 646-6676

    Type: Mailing

  • 1412 BLUE OAKS BLVD

    ROSEVILLE, CA 957477143

    Phone: (916) 784-7546

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 197 Open Payments records for all available years, with a total value of $4,208.

Total Amount is formed as General ($4,208) + Research ($0) + Ownership ($0) = $4,208.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($706).

Total Amount

$4,208

General + Research + Ownership

Payments

197

Total payment records

General Amount

$4,208

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151008000039INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths14738$0
99213Established patient office or other outpatient visit, 20-29 minutes7367$0
17000Destruction of precancer skin growth, 1 growth5553$0
17110Destruction of skin growth, 1-14 growths4139$0
99214Established patient office or other outpatient visit, 30-39 minutes3331$0
View full utilization report →

Insurance plans in this area (ZIP 95864)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991717936View full group profile
NameSpecialtyState
Physician AssistantCA
D E R M A T O L O G YCA
Physician AssistantCA
D E R M A T O L O G YMA
Physician AssistantCA

Reviews

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Frequently asked questions

Where can patients find SUPINDER KAUR RANDHAWA (NP)'s NPI?
You can confirm SUPINDER KAUR RANDHAWA (NP) with NPI 1821474230; it appears in the national provider directory.
Is SUPINDER KAUR RANDHAWA (NP) active in the national directory?
SUPINDER KAUR RANDHAWA (NP)'s public NPI profile is in an active state.
What kind of provider is SUPINDER KAUR RANDHAWA (NP)?
The page reflects Nurse Practitioner for SUPINDER KAUR RANDHAWA (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for SUPINDER KAUR RANDHAWA (NP)?
The page summarizes Sacramento, California for SUPINDER KAUR RANDHAWA (NP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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