DR. JAGTESHWAR SANDHU (MD) – Diagnostic Radiology Physician, NPI 1033778329

DR. JAGTESHWAR SANDHU (MD) is a healthcare provider. based in Miami, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. TRN29154 (FL). The NPI Number for DR. JAGTESHWAR SANDHU (MD) is 1033778329

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAGTESHWAR SANDHU (MD)
NPI
1033778329
Phone
Not provided
Address
1611 NW 12TH AVE FL 33136
Enumeration Date
10 June 2019
Last Update Date
1 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
9204330111
Graduation Year
2018 (8 years ago)
PAC ID
3678089372
Group Practice PAC ID
7113908310
Professional Enrollment ID
I20250721001243
Address ID
WI543013526GR835XXSTXX500

Contacts

Secure Messaging
jsandhu485173@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness95
Years active:7State licenses:2Other names

3,182 DIAGNOSTIC RADIOLOGY in FL

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Provider Addresses for DR. JAGTESHWAR SANDHU (MD)

  • Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone:

    Type: Mailing

  • Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States

    MIAMI, FL 331361005

    Phone: (305) 243-2067

    Type: Location

  • 900 NW 17th St Rm 65

    Miami, FL 331361119

    Phone: (305) 243-5512

    Fax: (305) 243-4613

    Type: Location

  • 5555 Ponce De Leon Blvd Fl 1

    Coral Gables, FL 331462513

    Phone: (305) 243-5512

    Fax: (305) 243-4613

    Type: Location

  • 3848 Fau Blvd Ste 305

    Boca Raton, FL 334316437

    Phone: (561) 455-3627

    Fax: (561) 393-7312

    Type: Location

  • 8932 SW 97th Ave

    Miami, FL 331761936

    Phone: (305) 243-5512

    Fax: (305) 243-4613

    Type: Location

  • 1192 E Newport Center Dr

    Deerfield Bch, FL 334427753

    Phone: (305) 243-5512

    Fax: (305) 243-4613

    Type: Location

  • 8100 SW 10th st

    Corporate Park Buildling 3

    Plantation, FL 33324

    Phone: (954) 210-1090

    Fax: (954) 210-1085

    Type: Location

  • 1115 NW 14th St

    Miami, FL 331362106

    Phone: (305) 243-5512

    Fax: (305) 243-4613

    Type: Location

  • 1400 NW 12th Ave

    Miami, FL 331361003

    Phone: (305) 243-5512

    Fax: (305) 243-4613

    Type: Location

  • 1611 NW 12th Ave

    Miami, FL 331361005

    Phone: (305) 243-2067

    Type: Location

  • 1475 NW 12TH AVE

    MIAMI, FL 331361002

    Phone: (305) 243-5512

    Fax: (305) 243-4613

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $4,613.

Total Amount is formed as General ($4,613) + Research ($0) + Ownership ($0) = $4,613.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Penumbra, Inc. ($2,261).

Total Amount

$4,613

General + Research + Ownership

Payments

30

Total payment records

General Amount

$4,613

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2025-07-21

PECOS data refreshed: 2026-06-15

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
I20250721001243IDiagnostic RadiologyWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33136)

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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: 7113908310View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyWI
Diagnostic Radiology, Interventional RadiologyWI
-WI
-WI
-WI
Interventional Radiology, Diagnostic RadiologyWI
Diagnostic RadiologyWI
Diagnostic RadiologyWI
Diagnostic RadiologyWI
Diagnostic RadiologyWI

Reviews

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Frequently asked questions

Does DR. JAGTESHWAR SANDHU (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JAGTESHWAR SANDHU (MD) uses 1033778329.
Is DR. JAGTESHWAR SANDHU (MD) listed as active for patients and plans?
The listing shows DR. JAGTESHWAR SANDHU (MD) as active in the NPI system.
What healthcare role does DR. JAGTESHWAR SANDHU (MD) hold?
Scheduling teams often label DR. JAGTESHWAR SANDHU (MD) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JAGTESHWAR SANDHU (MD) on a map?
Expect Miami, Florida as a primary anchor for DR. JAGTESHWAR SANDHU (MD) unless the record lists multiple sites.
Why does DR. JAGTESHWAR SANDHU (MD) have multiple addresses?
13 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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