Individual provider Active NPI

Ishwinder Singh Sidhu, MD

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1285893784
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P6725 Issued in TX
Practice address
2221 8TH Ave
Fort Worth, TX 76110-1812
Phone
(817) 336-5060
Fax
(817) 336-1744
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10030898 TX
Nephrology Physician 207RN0300X P6725 TX Primary

Addresses

Primary practice location

2221 8TH Ave
Fort Worth, TX 76110-1812

Mailing address

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20130821000368 TX Practitioner - Nephrology 1456511039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dialysis AssociatesGroup PAC ID 1557308319, 25 clinicians

Practice addresses (Care Compare)

11797 S Fwy
Suite 226
Burleson, TX 76028-7035
Phone (817) 336-5060

141 S Westmeadow Dr
Cleburne, TX 76033-4586
Phone (817) 336-5060

2221 8TH Ave
Fort Worth, TX 76110-1812
Phone (817) 336-5060

919 Travis Ave
Fort Worth, TX 76104-3137
Phone (817) 810-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10030898TXMDInternal Medicine Physician
P6725TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Associates Nephrology CurrentSince Aug 1, 2013 Accepting new patients

Locations

141 S Westmeadow Dr
Cleburne, TX 76033
Phone (817) 641-5221

2221 8th Ave
Fort Worth, TX 76110

919 Travis Ave
Fort Worth, TX 76104
Phone (817) 810-0700

950 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 912-9600

Interoperability endpoints

  • Direct secure messaging: isidhu29005@direct.acumenmd.com

Organizations & group practices 1

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 7

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1285893784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060",
            "fax_number": "817-336-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101812",
            "telephone_number": "817-336-5060",
            "fax_number": "817-336-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "ISHWINDER",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10030898",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P6725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.