Kanwardeep Kaur Sidhu, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60511455 Issued in WA

Practice address

205 10TH St NE
Ste 200
Auburn, WA 98002-4019

Phone

(253) 351-5300

Fax

(253) 351-5399

NPI assigned

Jul 18, 2012

Sex

Female

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 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

Specialty

Family Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
• St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141
• St Elizabeth Hospital Hospital, Enumclaw, WA, CCN 501335

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Franciscan Medical Group

  • Orthopaedic Surgery Physician
  • Silverdale, WA
  • NPI 1093165334
  Medicare reassignment Care Compare group NPD
• Franciscan Medical Group

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1366539421
  NPD
• Franciscan Medical Group

  • Surgery Physician
  • Federal Way, WA
  • NPI 1568470441
  NPD
• Franciscan Medical Group

  • Family Medicine Physician
  • Gig Harbor, WA
  • NPI 1386602555
  NPD (past)

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

• Enumclaw Regional Hospital Association

  • Critical Access Hospital
  • Enumclaw, WA
  • NPI 1073674040
  Care Compare affiliation
• Franciscan Health System

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1124291117
  Care Compare affiliation
• Franciscan Health System

  • Clinical Medical Laboratory
  • Tacoma, WA
  • NPI 1659585370

  Hospital

  Care Compare affiliation
• Franciscan Health System

  • General Acute Care Hospital
  • Tacoma, WA
  • NPI 1952309098
  Care Compare affiliation
• St Francis Community Hospital

  • General Acute Care Hospital
  • Federal Way, WA
  • NPI 1093713091
  Care Compare affiliation
• St Francis Community Hospital

  • Clinical Medical Laboratory
  • Federal Way, WA
  • NPI 1336353069

  Hospital

  Care Compare affiliation
• St Francis Community Hospital

  • General Acute Care Hospital
  • Federal Way, WA
  • NPI 1922305606
  Care Compare affiliation

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1104171974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 10TH ST NE",
            "address_2": "STE 200",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024019",
            "telephone_number": "253-351-5300",
            "fax_number": "253-351-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 10TH ST NE",
            "address_2": "STE 200",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024019",
            "telephone_number": "253-351-5300",
            "fax_number": "253-351-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "KANWARDEEP",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60511455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Shriver
• Cecilia Shum
• Raisa Shvartsman, CCC-SLP
• Abdul R Siddiqui, MD
• Janet Sidebottom, ARNP
• Sieglinde Parker
• Crystal Siercks, RN
• Amanda Alana Silcott, CNA
• Ashley Sill, MT
• Arizbe Silva

• Family Medicine Physician in Auburn, WA
• Providers in Auburn, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.