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SUKHREET KAUR GHUMAN MD
NPI 1194212316
Family Medicine in Stockton, CA

Active since April 13, 2018PECOS Enrolled
95.31/100
CMS Quality Rating
1031 WATERLOO RD, STOCKTON, CA 95205(209) 940-5600 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2025, Oct 21, 2022, Sep 22, 2022 and 1 more (4 updates tracked since 2018).

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, is affiliated with Ohio State University State Health System, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194212316
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUKHREET KAUR GHUMANCredential: MD
Location Address1031 WATERLOO RDStockton, CA 95205-4256
Mailing Address1031 Waterloo RdStockton, CA 95205-4256
Phone(209) 940-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 13, 2018
Last NPPES UpdateNovember 21, 20254 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
✔ NPI 1194212316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.141550
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1031 WATERLOO RD, Stockton, CA 95205
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Other Identifiers 1

Other1194212316Cms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sukhreet Kaur Ghuman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860748191
PECOS Enrollment IDI20251211000116
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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
26 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

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.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

DUC HUU NGUYEN
Dental Hygienist
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 636-5555
TINA DENELLE ROBINSON
Community Health Worker
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5662
ADRIANA VANESSA NUNEZ LOPEZ NP
Nurse Practitioner (Pediatrics)
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5600
HAILU SOLOMON MEHANZEL DMD
Dentist (General Practice)
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5600
COMMUNITY MEDICAL CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5600
SADICHCHHA PARAJULI
Family Medicine
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5600
KALEA ROBINSON
Case Manager/Care Coordinator
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 623-6115
CLAUDIA L CASTILLO
Case Manager/Care Coordinator
1031 WATERLOO RD
STOCKTON, CA 95205
San Joaquin County (209) 940-5662

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.

What insurance does Sukhreet Ghuman accept?

Health plans from CareSource, Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio 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.

Is Sukhreet Ghuman affiliated with any hospitals?

According to CMS data, Sukhreet Ghuman is affiliated with Ohio State University State Health System.

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 8 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.