DR. AJIT PAL SINGH SANDHU M.D.
NPI 1306953724
Internal Medicine - Pulmonary Disease in Fremont, CA

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
85.61/100
CMS Quality Rating
680 MOWRY AVE, FREMONT, CA 94536(510) 790-1511(510) 791-8820 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Ajit Pal Singh Sandhu M.d. NPPES

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

DR. AJIT PAL SINGH SANDHU M.D. (NPI 1306953724) is an individual pulmonary disease provider in Fremont, California, licensed in California (A34658) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1306953724
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. AJIT PAL SINGH SANDHUCredential: M.D.
Location Address680 MOWRY AVEFremont, CA 94536-4113
Mailing Address680 Mowry AveFremont, CA 94536-4113 · (510) 790-1511 · Fax (510) 791-8820
Fax(510) 791-8820
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateAugust 23, 2006
Last NPPES UpdateOctober 30, 2012
✔ NPI 1306953724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A34658
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
680 MOWRY AVE, Fremont, CA 94536

Other Identifiers 5

Medicaid00A346580CA
Other110004070CA · Railroad Medicare #
Other00A346580CA · Blue Shield Of Ca Prov#
Medicare ID-Type Unspecified00A346580CA · Medicare Provider#
Medicare UPINA27547

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ajit Pal Singh Sandhu M.d. 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 ID6305888215
PECOS Enrollment IDI20080613000231
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ajit Sandhu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2000 MOWRY AVE
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • 68 clinicians in this Medicare group
Internal Medicine
2333 MOWRY AVE, SUITE 300
Fremont, CA 94538
  • Reassigned Medicare billing, California enrollment
  • 47 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 8

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.
955 services282 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
99 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
72 services72 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94536 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

85.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.84
Promoting Interoperability78
Improvement Activities40
Cost65.55

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers53 claims109 services$5.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers26 claims34 services$1.02 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers30 claims30 services$2.61 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$61.04 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
8 suppliers27 claims2,040 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
8 suppliers21 claims21 services$24.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Psychiatry & Neurology (Psychiatry)
680 MOWRY AVE
FREMONT, CA 94536
Psychiatry & Neurology (Psychiatry)
680 MOWRY AVE
FREMONT, CA 94536
Psychiatry & Neurology (Psychiatry)
680 MOWRY AVE
FREMONT, CA 94536
Internal Medicine
680 MOWRY AVE
FREMONT, CA 94536
Internal Medicine
680 MOWRY AVE
FREMONT, CA 94536
Internal Medicine (Pulmonary Disease)
680 MOWRY AVE
FREMONT, CA 94536

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 Ajit Sandhu's NPI number?

The NPI number for Ajit Sandhu is 1306953724. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Ajit Sandhu located?

Ajit Sandhu practices at 680 Mowry Ave, Fremont, CA 94536. The listed phone number is (510) 790-1511.

What is Ajit Sandhu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ajit Sandhu enrolled in Medicare?

Yes. Ajit Sandhu 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.

Which organizations bill Medicare for Ajit Sandhu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ajit Sandhu reassigns Medicare benefits to 2 organizations: Washington Township Hospital District (Fremont, CA) and California Cardiovascular Consultants (Fremont, 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 Ajit Sandhu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ajit Sandhu was last updated on October 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.