Active NPI
Anju K Sidhu, M.D.
- Gastroenterology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- DR.0052841
- Practice address
- 2920 N Cascade Ave
Third Floor
Colorado Springs, CO 80907-6262 - Phone
- (719) 636-1201
- Fax
- (719) 636-1326
- NPI assigned
- Mar 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42757 | CO | |
| Gastroenterology Physician | 207RG0100X | DR.0052841 | CO | Primary |
Addresses
Primary practice location
2920 N Cascade Ave
Third Floor
Colorado Springs, CO 80907-6262
Mailing address
2920 N Cascade Ave
Third Floor
Colorado Springs, CO 80907-6262
Phone (719) 636-1201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71279024 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42757 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current | Accepting new patients | |
| Salida Hospital District | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Salida Hospital District | Internal Medicine | Current | Accepting new patients |
| Trinidad Area Health Association | Internal Medicine | Current | Accepting new patients |
| Salida Hospital District | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Trinidad Area Health Association | Current | Accepting new patients | |
| Trinidad Area Health Association | Current | Accepting new patients | |
| Maya LLC | Past | Accepting new patients |
Locations
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
550 W US Highway 50
Salida, CO 81201
Phone (719) 530-2014
1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265
410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051
Organizations & group practices 10
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.
-
dba Heart of the Rockies Regional Medical Center
- Critical Access Hospital
- Salida, CO
- NPI 1730258971
-
- Internal Medicine Physician
- Salida, CO
- NPI 1972778272
-
dba Mt. San Rafael Hospital Clinic
- Family Medicine Physician
- Trinidad, CO
- NPI 1467400309
Internal Medicine
-
dba AdventHealth Medical Group Neuroscience at Littleton
- Neurological Surgery Physician
- Littleton, CO
- NPI 1477163632
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
-
dba HRRMC Buena Vista Health Center
- Rural Health Clinic/Center
- Buena Vista, CO
- NPI 1427395193
-
dba Mt. San Rafael Hospital
- Critical Access Hospital
- Trinidad, CO
- NPI 1184616740
-
dba Mt. San Rafael Hospital Specialty Clinics
- Orthopaedic Surgery Physician
- Trinidad, CO
- NPI 1548965999
-
- Certified Registered Nurse Anesthetist
- Colorado Springs, CO
- NPI 1235503509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1114058344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 N CASCADE AVE",
"address_2": "THIRD FLOOR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076262",
"telephone_number": "719-636-1201",
"fax_number": "719-636-1326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 N CASCADE AVE",
"address_2": "THIRD FLOOR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809076262",
"telephone_number": "719-636-1201",
"fax_number": "719-636-1326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "ANJU",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "42757",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CO",
"license": "DR.0052841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71279024",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.