SUKHREET KAUR GHUMAN MD
NPI 1194212316
Family Medicine in Stockton, CA
About Sukhreet Kaur Ghuman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUKHREET KAUR GHUMAN MD (NPI 1194212316) is an individual family medicine provider in Stockton, California, licensed in Ohio (35.141550) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sukhreet Kaur Ghuman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sukhreet Ghuman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockton, CA 95205
- Reassigned Medicare billing, California enrollment
- 154 clinicians in this Medicare group
Stockton, CA 95202
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of San Joaquin
- 195 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKTON, CA 95205
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 Sukhreet Ghuman's NPI number?
The NPI number for Sukhreet Ghuman is 1194212316. It was assigned to this individual provider in the NPPES registry on April 13, 2018.
Where is Sukhreet Ghuman located?
Sukhreet Ghuman practices at 1031 Waterloo Rd, Stockton, CA 95205. The listed phone number is (209) 940-5600.
What is Sukhreet Ghuman's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sukhreet Ghuman enrolled in Medicare?
Yes. Sukhreet Ghuman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sukhreet Ghuman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sukhreet Ghuman reassigns Medicare benefits to 2 organizations: Community Medical Centers, Inc (Stockton, CA) and San Joaquin County Behavioral Health Services (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sukhreet Ghuman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sukhreet Ghuman accept?
Health plans from Antidote Health Plan of Ohio, Inc. list Sukhreet Ghuman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sukhreet Ghuman was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Sukhreet Kaur Ghuman, MD · NPI 1194212316
Family Medicine physician in Stockton, California. Individual provider, active in the CMS NPPES registry since April 13, 2018.
## Identity
- **NPI:** 1194212316 (Entity type: Individual)
- **Enumerated:** April 13, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35.141550 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1031 WATERLOO RD, Stockton, CA 95205-4256
- **Phone:** (209) 940-5600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Medical Centers, Inc (NPI 1285059923, Stockton, CA); San Joaquin County Behavioral Health Services (NPI 1043426869, Stockton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 21, 2025
- **Other identifiers:** Other 1194212316
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Source: [NPI Profile](https://npiprofile.com/npi/1194212316) · Data from the CMS NPPES public registry.