SMANPREET SANDHU (PA-C) – Physician Assistant, NPI 1073164497

SMANPREET SANDHU (PA-C) is a healthcare provider. based in Dayton, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 63882 (CA). The NPI Number for SMANPREET SANDHU (PA-C) is 1073164497

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SMANPREET SANDHU (PA-C)
NPI
1073164497
Phone
(937) 433-8990
Address
33 W Rahn Rd
Enumeration Date
26 September 2019
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6507234000
Graduation Year
2019 (7 years ago)
PAC ID
0244664662
Group Practice PAC ID
6709797491
Professional Enrollment ID
I20240202000838
Address ID
CA943052200ST300XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for SMANPREET SANDHU (PA-C)

  • 33 W Rahn Rd

    Dayton, OH 454292219

    Phone: (937) 433-8990

    Fax: (937) 433-8691

    Type: Location

  • 33 W RAHN RD

    DAYTON, OH 454292219

    Phone: (937) 433-8990

    Fax: (937) 433-8691

    Type: Mailing

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-02-02

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
I20240202000838IPhysician AssistantCATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5656$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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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: 6709797491View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Hematology, Medical OncologyNY
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerCA
Nurse PractitionerCA
Neuropsychiatry, NeurologyCA

Reviews

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Frequently asked questions

What identifier follows SMANPREET SANDHU (PA-C) across health systems?
The NPI 1073164497 uniquely identifies SMANPREET SANDHU (PA-C) in U.S. healthcare data.
Does the public listing show SMANPREET SANDHU (PA-C) as active?
SMANPREET SANDHU (PA-C)'s NPI record reflects an active status in NPPES.
What services align with SMANPREET SANDHU (PA-C)'s listing?
SMANPREET SANDHU (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SMANPREET SANDHU (PA-C)?
SMANPREET SANDHU (PA-C) is associated with Dayton, Ohio in the same public data insurers reference.
Can I export SMANPREET SANDHU (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.