1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Physician Assistant
  6. NPI Profile

SANDEEP KAUR PA
NPI 1093590168
Physician Assistant - Medical in Fairfax, VA

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
9404A MAIN ST, FAIRFAX, VA 22031(571) 404-6974 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Aug 22, 2024, Oct 19, 2023 and 1 more (4 updates tracked since 2023).

About Sandeep Kaur Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDEEP KAUR PA (NPI 1093590168) is an individual medical provider in Fairfax, Virginia, licensed in Virginia (0110009500) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of San Juan Bautista School Of Medicine (2023).

NPPES Registry Identity

NPI1093590168
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSANDEEP KAURCredential: PA
Location Address9404A MAIN STFairfax, VA 22031-4032
Mailing Address9404-a Main StreetFairfax, VA 22031
Phone(571) 404-6974
Sole ProprietorNo
Medical School CMSSan Juan Bautista School Of MedicineGraduated 2023
Enumeration DateAugust 28, 2023
Last NPPES UpdateNovember 5, 20244 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1093590168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110009500
9404A MAIN ST, Fairfax, VA 22031
Open in Google Maps ↗

Other Identifiers 2

Medicaid30017688630001VA
Medicaid0110009500VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandeep Kaur Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577917939
PECOS Enrollment IDI20231004000280, I20240807000881
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
65 services58 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. IAN EDWIN DICK PA-C
Physician Assistant
9404A MAIN ST
FAIRFAX, VA 22031
Fairfax County (571) 404-6974
PATRICIA LYNNE CARNES FNP-BC
Nurse Practitioner (Family)
9404A MAIN ST
FAIRFAX, VA 22031
Fairfax County (571) 404-6974
SANDRA M. ZAVALA FNP
Nurse Practitioner (Family)
9404A MAIN ST
FAIRFAX, VA 22031
Fairfax County (571) 404-6974
PAULINA J MANCOSKE DNP, FNP-BC, NP-C
Nurse Practitioner (Family)
9404A MAIN ST
FAIRFAX, VA 22031
Fairfax County (571) 404-6974

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandeep Kaur's NPI number?

The NPI number for Sandeep Kaur is 1093590168. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Sandeep Kaur located?

Sandeep Kaur practices at 9404A Main St, Fairfax, VA 22031. The listed phone number is (571) 404-6974.

What is Sandeep Kaur's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sandeep Kaur enrolled in Medicare?

Yes. Sandeep Kaur is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sandeep Kaur was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.