Gursimran Sidhu, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

11220 Liberty Ave
South Richmond Hill, NY 11419-1814

Phone

(718) 554-6600

NPI assigned

Aug 2, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All Care Family Medicine, PCGroup PAC ID 9739333055, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Care Family Medicine P.C.

  • Family Medicine Physician
  • South Richmond Hill, NY
  • NPI 1821333105
  Medicare reassignment Care Compare group
• Allmed Urgent Care PC

  • Urgent Care Clinic/Center
  • South Richmond Hill, NY
  • NPI 1366835332
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1073287330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 75TH ST FL 2",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701404",
            "telephone_number": "347-543-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11220 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191814",
            "telephone_number": "718-554-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "GURSIMRAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Matthew Seid, DMD
• Sapna Shah, M.D.
• Jai I Sharma, RPH
• David Z Shechter, DPM
• Greg Shivcharran, PHARM D.
• Hendryx Humphrey Obmana Silva, C.O.T.A.
• Stella Ann Sinclair, MS, OTR/L
• Amandeep Singh, PHARMACIST
• Amarjit Singh, M.D.
• Deedar Singh, PHARM D

• Physician Assistant in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.