NPIMap

Individual provider Active NPI

Harjit Singh Sidhu, MD

  • Internal Medicine Physician
  • Cumberland, MD
National Provider Identifier
1174523823
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D26907 Issued in MD
Practice address
772 Bishop Walsh Rd
Cumberland, MD 21502-1802
Phone
(240) 362-7494
Fax
(240) 362-7514
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D26907 MD Primary

Addresses

Primary practice location

772 Bishop Walsh Rd
Cumberland, MD 21502-1802

Mailing address

772 Bishop Walsh Rd
Cumberland, MD 21502-1802
Phone (240) 362-7494

Other identifiers 3

IdentifierTypeStateIssuer
337201400MedicaidMD
8104HSOtherMDCAREFIRST BCBS
3372014P0001MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000936 MD Practitioner - Internal Medicine 3375669401 Practice locations: Frostburg, MD; Westernport, MD; Lonaconing, MD; Cumberland, MD

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

57 Jackson St
Lonaconing, MD 21539-1307
Phone (301) 463-5451

772 Bishop Walsh Rd
Cumberland, MD 21502-1802
Phone (240) 362-7494

Hospital & facility affiliations

  • Upmc Western Maryland Hospice, Cumberland, MD, CCN 211534
  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027
  • Moran Nursing and Rehabilitation Center Nursing home, Westernport, MD, CCN 215240
  • Egle Nursing Home Nursing home, Lonaconing, MD, CCN 215307
  • Lions Rehab Center Nursing home, Cumberland, MD, CCN 215073

Merit-based Incentive Payment System (MIPS)

Final score
25.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D26907MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westernport Health Care LLC Past Accepting new patients
Egle Nursing Home Management Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Egle Nursing and Rehab CenterLonaconing, MD, CCN 215307 Skilled nursing facility Contracted Managing Employee
Adp of the SNF		 Sep 27, 2000
Dec 18, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174523823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021802",
            "telephone_number": "240-362-7494",
            "fax_number": "240-362-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021802",
            "telephone_number": "240-362-7494",
            "fax_number": "240-362-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "HARJIT",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D26907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "337201400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "8104HS",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372014P0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.