Individual provider Active NPI

Sukhjit S Sidhu, M.D.

  • Emergency Medicine Physician
  • Cumberland, MD
National Provider Identifier
1124028394
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D46952 Issued in MD
Practice address
600 Memorial Ave
Cumberland, MD 21502-3765
Phone
(866) 668-6303
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D46952 MD Primary

Addresses

Primary practice location

600 Memorial Ave
Cumberland, MD 21502-3765

Mailing address

7300 Van Dusen Rd
Laurel, MD 20707-9463
Phone (301) 725-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Maryland Emergency Medicine Current Accepting new patients
Medexpress Urgent Care, PC - Maryland Emergency Medicine CurrentSince Aug 17, 2017 Accepting new patients
Medexpress Urgent Care, PC - Maryland Emergency Medicine CurrentSince Aug 17, 2017 Accepting new patients
Hospital Physician Services, LLLP Past Accepting new patients
Contee Emergency Physicians Emergency Medicine Past Accepting new patients
Cumberland Emergency Medical Group PA Emergency Medicine Past Accepting new patients
Cumberland Emergency Medical Group, PA Emergency Medicine Past Accepting new patients
Delphi Healthcare Partners of Maryland LLC Past Accepting new patients
Medical Faculty Associates, Inc Emergency Medicine Past Accepting new patients

Locations

1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254

Organizations & group practices 9

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1124028394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 VAN DUSEN RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079463",
            "telephone_number": "301-725-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MEMORIAL AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023765",
            "telephone_number": "866-668-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "SUKHJIT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D46952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.