Individual provider Active NPI

Nirchet Singh Sidhu, M.D.

  • Family Medicine Physician
  • East Grand Forks, MN
National Provider Identifier
1205567641
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80473 Issued in MN
Practice address
607 Demers Ave
East Grand Forks, MN 56721-1833
Phone
(218) 773-0357
NPI assigned
Jun 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18525 ND
Family Medicine Physician 207Q00000X 80473 MN Primary

Addresses

Primary practice location

607 Demers Ave
East Grand Forks, MN 56721-1833

Mailing address

PO Box 13780
Grand Forks, ND 58208-3780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250908000950 MN Practitioner - Family Practice 2961885884 Reassigns benefits to 1 organization
I20260304002085 ND Practitioner - Family Practice 2961885884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Health SystemGroup PAC ID 1355251604, shared by 14 NPIs, 675 clinicians

Practice addresses (Care Compare)

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

607 Demers Ave
East Grand Forks, MN 56721-1833
Phone (218) 773-0357

Hospital & facility affiliations

  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18525NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System CurrentSince Sep 7, 2025 Accepting new patients
Altru Health System Family Medicine CurrentSince Dec 31, 2025 Accepting new patients
Altru Health System Current Accepting new patients
Altru Health System CurrentSince Sep 7, 2025 Accepting new patients

Locations

607 Demers Ave
East Grand Forks, MN 56721
Phone (218) 773-0357

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

725 Hamline St
Grand Forks, ND 58203
Phone (701) 777-6800

Organizations & group practices 4

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 1

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1205567641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13780",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582083780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 DEMERS AVE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567211833",
            "telephone_number": "218-773-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "NIRCHET",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "18525",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "80473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Grand Forks, MN

Sources for this page

Verify at the official NPI Registry.