Individual provider Active NPI

Sidney K Gicheru, MD

  • Ophthalmology Physician
  • Irving, TX
National Provider Identifier
1093807703
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K8626 Issued in TX
Practice address
440 W Lyndon B Johnson Fwy Ste 300
Irving, TX 75063-3841
Phone
(214) 574-9600
Fax
(214) 574-9601
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K8626 TX Primary

Addresses

Primary practice location

440 W Lyndon B Johnson Fwy Ste 300
Irving, TX 75063-3841

Mailing address

440 W Lyndon B Johnson Fwy Ste 300
Irving, TX 75063-3841
Phone (214) 574-9600

Other identifiers 2

IdentifierTypeStateIssuer
0311623-01MedicaidTX
7112157OtherTXAETNA HEALTHCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050504000781 TX Practitioner - Ophthalmology 6002727351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lasercare Eye Center PAGroup PAC ID 0143252130, 3 clinicians

Practice addresses (Care Compare)

1900 E Hwy 114
Suite 100
Southlake, TX 76092-6510
Phone (817) 481-2727

4708 Dexter Dr
Suite 450
Plano, TX 75093-5288
Phone (469) 331-8585

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lasercare Eye Center, P.a. Ophthalmology CurrentSince Aug 24, 2001 Accepting new patients

Locations

12200 Park Central Dr
Ste 300
Dallas, TX 75251
Phone (972) 661-0505

440 W Lyndon B Johnson Fwy
Ste 300
Irving, TX 75063

4708 Dexter Dr
Ste 450
Plano, TX 75093
Phone (469) 331-8585

1900 E State Highway 114
Ste 100
Southlake, TX 76092
Phone (817) 481-2727

1900 E State Highway 114
Southlake, TX 76092

Interoperability endpoints

  • Direct secure messaging: sgicheru@direct.uspi.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1093807703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W LYNDON B JOHNSON FWY STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633841",
            "telephone_number": "214-574-9600",
            "fax_number": "214-574-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W LYNDON B JOHNSON FWY STE 300",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633841",
            "telephone_number": "214-574-9600",
            "fax_number": "214-574-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GICHERU",
        "first_name": "SIDNEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K8626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0311623-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "7112157",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.