Individual provider Active NPI

Ramandeep Singh Sidhu, MD

  • Vascular Surgery Physician
  • Issaquah, WA
National Provider Identifier
1083879340
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD 60299610 Issued in WA
Practice address
1301 4TH Ave NW
302
Issaquah, WA 98027-9371
Phone
(425) 250-9999
NPI assigned
Jul 25, 2008
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35.089252 OH
Vascular Surgery Physician 2086S0129X MD 60299610 WA Primary

Addresses

Primary practice location

1301 4TH Ave NW
302
Issaquah, WA 98027-9371

Mailing address

1301 4TH Ave NW
302
Issaquah, WA 98027-9371
Phone (425) 250-9999

Other identifiers 1

IdentifierTypeStateIssuer
3043576MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121107000334 WA Practitioner - Vascular SurgeryPractitioner - General Surgery 9032248935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vivaa PLLCGroup PAC ID 6103127824, 2 clinicians

Practice addresses (Care Compare)

1900 116TH Ave NE
Suite 201
Bellevue, WA 98004-3013

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal24
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.089252OHMDVascular Surgery Physician
MD 60299610WAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Vascular Incorporated CurrentSince Aug 5, 2026 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients
Pacific Vascular Incorporated CurrentSince Dec 1, 2025 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients
Pacific Vascular Incorporated CurrentSince Oct 1, 2020 Accepting new patients
Pacific Vascular Incorporated CurrentSince Apr 2, 2016 Accepting new patients
Vivaa PLLC Vascular Surgery CurrentSince Dec 19, 2015 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients
Pacific Vascular Incorporated CurrentSince Jan 1, 2016 Accepting new patients

Locations

1900 116th Ave NE
Ste 201
Bellevue, WA 98004
Phone (425) 250-9999

1301 4th Ave NW
Ste 302
Issaquah, WA 98027
Phone (206) 305-9963

1600 E Jefferson St
Ste 201
Seattle, WA 98122
Phone (206) 323-1740

Interoperability endpoints

  • Direct secure messaging: ramandeep.sidhu@4374.securemail.prognocis.com

Organizations & group practices 15

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

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1083879340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 4TH AVE NW",
            "address_2": "302",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279371",
            "telephone_number": "425-250-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 4TH AVE NW",
            "address_2": "302",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980279371",
            "telephone_number": "425-250-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "RAMANDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-25",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.089252",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD 60299610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.