DR. RAWEL SINGH RANDHAWA M.D.
NPI 1689781361
Internal Medicine - Gastroenterology in Riverside, CA

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
98.32/100
CMS Quality Rating
1385 HALIFAX DR, RIVERSIDE, CA 92506(623) 262-1171 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Dec 28, 2021, Jun 24, 2021 and 5 more (8 updates tracked since 2016).

About Dr. Rawel Singh Randhawa M.d. NPPES

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

DR. RAWEL SINGH RANDHAWA M.D. (NPI 1689781361) is an individual gastroenterology provider in Riverside, California, licensed in Wisconsin (21585) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and maintains a secondary practice location in Paducah.

NPPES Registry Identity

NPI1689781361
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAWEL SINGH RANDHAWACredential: M.D.
Location Address1385 HALIFAX DRRiverside, CA 92506-4017
Mailing Address1385 Halifax DrRiverside, CA 92506-4017 · (623) 262-1171
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 25, 2006
Last NPPES UpdateNovember 7, 20248 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
NPI 1689781361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in WI · 21585 Licensed in CA · A45944 Licensed in WA · MD60709322 Licensed in VA · 0101246947 Licensed in AZ · 24657 Licensed in KY · C0140
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101246947 (VA), 24657 (AZ), A45944 (CA), MD60709322 (WA), C0140 (KY)
1385 HALIFAX DR, Riverside, CA 92506

Secondary Practice Location 1

Location 1225 Medical Center Dr Ste 308Paducah, KY 42003-7915 · Phone (270) 443-0777 · Fax (270) 443-0999

Accepted Insurance

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. Rawel Singh Randhawa 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 ID4789602715
PECOS Enrollment IDI20190613000964, I20241120003591
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 6

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.

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.
172 services93 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
104 services100 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
54 services34 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
23 services22 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
18 services18 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92506 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

98.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.61
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Specialist
1385 HALIFAX DR
RIVERSIDE, CA 92506
Behavior Analyst
1385 HALIFAX DR
RIVERSIDE, CA 92506
Behavior Analyst
1385 HALIFAX DR
RIVERSIDE, CA 92506

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 Rawel Randhawa's NPI number?

The NPI number for Rawel Randhawa is 1689781361. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Rawel Randhawa located?

Rawel Randhawa practices at 1385 Halifax Dr, Riverside, CA 92506. The listed phone number is (623) 262-1171.

What is Rawel Randhawa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rawel Randhawa enrolled in Medicare?

Yes. Rawel Randhawa 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.

What insurance does Rawel Randhawa accept?

Health plans from Antidote Health Plan of Ohio, Inc., Blue Cross Blue Shield of North Dakota, Medica, Oscar Health Insurance and Oscar Health Maintenance Organization of Florida and 7 other insurers list Rawel Randhawa 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 Rawel Randhawa affiliated with any hospitals?

According to CMS data, Rawel Randhawa is affiliated with Chi St Alexius Health and Prov Sacred Hrt Med Ctr & Childs Hosp..

When was this NPI record last updated?

The NPPES record for Rawel Randhawa was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.