Active NPI
Hasrat Sidhu, M.B.B.S
- Internal Medicine Physician
- Montgomery, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 47204
- Practice address
- 1725 Pine St
Montgomery, AL 36106-1117 - Phone
- (334) 293-8000
- NPI assigned
- Apr 18, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125.074075 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 47204 | AL | Primary |
Addresses
Primary practice location
1725 Pine St
Montgomery, AL 36106-1117
Mailing address
3249 S. Oak Park Ave, Macneal Hospital
Berwyn, IL 60402
Other practice location 1
3722 Harlem Ave Ste Ll34
Riverside, IL 60546-2320
Phone (708) 783-6566
Other practice location 2
900 NW 17th St Fl 5
Miami, FL 33136-1119
Phone (305) 326-6170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 293-8000
Hospital & facility affiliations
- Amedisys Home Health of Montgomery
- Jackson Hospital & Clinic Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47204 | AL | MD | Internal Medicine Physician |
| 125.074075 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Hospital and Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Jackson Hospital & Clinic, Inc. | Current | Accepting new patients | |
| Jackson Hospital and Clinic, Inc. | Current | Accepting new patients | |
| Jackson Hospital & Clinic, Inc. | Past | Accepting new patients |
Locations
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Montgomery, AL
- NPI 1073264107
Internal Medicine
-
- Physical Therapist
- Montgomery, AL
- NPI 1265325823
-
- Hospitalist Physician
- Montgomery, AL
- NPI 1306229190
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Montgomery, AL
- NPI 1174581474
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1043262488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1083277685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3249 S. OAK PARK AVE, MACNEAL HOSPITAL",
"city": "BERWYN",
"state": "IL",
"postal_code": "60402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 PINE ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061117",
"telephone_number": "334-293-8000"
}
],
"practiceLocations": [
{
"address_1": "3722 Harlem Ave Ste Ll34",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "IL",
"postal_code": "605462320",
"country_code": "US",
"telephone_number": "708-783-6566",
"fax_number": "708-783-6567",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 NW 17th St Fl 5",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331361119",
"country_code": "US",
"telephone_number": "305-326-6170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDHU",
"first_name": "HASRAT",
"name_prefix": "Dr.",
"credential": "M.B.B.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-18",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.074075",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "47204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.