SANDEEP KAUR (PA) – Medical Physician Assistant, NPI 1093590168

SANDEEP KAUR (PA) is a healthcare provider. based in Fairfax, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110009500 (VA). The NPI Number for SANDEEP KAUR (PA) is 1093590168

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
SANDEEP KAUR (PA)
NPI
1093590168
Phone
Not provided
Address
9404-A MAIN STREET
Enumeration Date
28 August 2023
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
SAN JUAN BAUTISTA SCHOOL OF MEDICINE
Secondary Phone
47027679312302
Graduation Year
2023 (3 years ago)
PAC ID
3577917939
Group Practice PAC ID
7012385040
Professional Enrollment ID
I20240807000881
Address ID
VA220314032FA9404XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for SANDEEP KAUR (PA)

  • 9404-A MAIN STREET

    FAIRFAX, VA 22031

    Phone:

    Type: Mailing

  • 9404A MAIN ST

    FAIRFAX, VA 220314032

    Phone: (571) 404-6974

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

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: 2024-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231004000280IPhysician AssistantVATBD
I20240807000881IPhysician AssistantDCTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4847$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1111$0
View full utilization report →

Insurance plans in this area (ZIP 22031)

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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: 7012385040View full group profile
NameSpecialtyState
Family PracticeDC
Family PracticeAR
Physician AssistantNY
Internal Medicine, General PracticeVA
Physician AssistantMD
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantVA
Nurse PractitionerVA
Physician AssistantVA

Reviews

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Frequently asked questions

How is SANDEEP KAUR (PA) identified in CMS data?
CMS-hosted NPPES data lists SANDEEP KAUR (PA) with NPI 1093590168.
Does CMS list SANDEEP KAUR (PA) as active?
Yes — SANDEEP KAUR (PA) is active in the NPI listing used on this page.
What healthcare role does SANDEEP KAUR (PA) hold?
Scheduling teams often label SANDEEP KAUR (PA) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for SANDEEP KAUR (PA)?
SANDEEP KAUR (PA)'s geographic hint is Fairfax, Virginia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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