DR. DIYA GOORAH SANDHU M.D.
NPI 1477972685
Physical Medicine & Rehabilitation - Pain Medicine in Irvine, CA

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1000 FIVEPOINT, IRVINE, CA 92618(949) 671-4673 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Sep 11, 2019 (2 updates tracked since 2019).

About Dr. Diya Goorah Sandhu M.d. NPPES

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

DR. DIYA GOORAH SANDHU M.D. (NPI 1477972685) is an individual pain medicine provider in Irvine, California, licensed in California (C194198) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Duarte, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477972685
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameDR. DIYA GOORAH SANDHUCredential: M.D.
Location Address1000 FIVEPOINTIrvine, CA 92618-2377
Mailing AddressPo Box 512185Los Angeles, CA 90051-0185
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2014
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1477972685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses Licensed in CA · C194198 Licensed in GA · 83547
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
1000 FIVEPOINT, Irvine, CA 92618

Secondary Practice Location 1

Location 11500 Duarte RdDuarte, CA 91010-3012 · Phone (800) 826-4673

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

Dr. Diya Goorah 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 ID2860724937
PECOS Enrollment IDI20240522003042
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 11

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.
66 services61 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
54 services54 patients
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.
45 services41 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services29 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.
23 services23 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636
This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.
22 services13 patients

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
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.

Anesthesiology
1000 FIVEPOINT
IRVINE, CA 92618
Surgery (Surgical Oncology)
1000 FIVEPOINT, BLDG A
IRVINE, CA 92618
Nurse Practitioner (Acute Care)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Vascular & Interventional Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618
Radiology (Diagnostic Radiology)
1000 FIVEPOINT
IRVINE, CA 92618
Internal Medicine (Pulmonary Disease)
1000 FIVEPOINT
IRVINE, CA 92618
Nurse Anesthetist, Certified Registered
1000 FIVEPOINT
IRVINE, CA 92618

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 Diya Sandhu's NPI number?

The NPI number for Diya Sandhu is 1477972685. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Diya Sandhu located?

Diya Sandhu practices at 1000 Fivepoint, Irvine, CA 92618. The listed phone number is (949) 671-4673.

What is Diya Sandhu's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Diya Sandhu enrolled in Medicare?

Yes. Diya 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.

When was this NPI record last updated?

The NPPES record for Diya Sandhu was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.