Individual provider Active NPI

Arandapallam S Sidharthan, MD

  • Diagnostic Radiology Physician
  • Pharr, TX
National Provider Identifier
1295745719
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G9220 Issued in TX
Practice address
3910 N Jackson Rd
Pharr, TX 78577-7768
Phone
(956) 928-1882
Fax
(956) 928-1866
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G9220 TX Primary

Addresses

Primary practice location

3910 N Jackson Rd
Pharr, TX 78577-7768

Mailing address

PO Box 3307
Edinburg, TX 78540
Phone (956) 928-1882

Other identifiers 1

IdentifierTypeStateIssuer
Z000083H4MedicaidTX

Other names 1

  • Arandapallam Sidharthan Other name

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
I20051202000097 TX Practitioner - Diagnostic Radiology 2769402924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3216 S Sugar Rd
Unit H
Edinburg, TX 78539-3693
Phone (956) 928-1882

Hospital & facility affiliations

  • Cornerstone Regional Hospital Hospital, Edinburg, TX, CCN 450825

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Imaging of South Texas LLC CurrentSince Jan 1, 2025 Accepting new patients
Edinburg Radiology, LLP CurrentSince Dec 4, 1985 Accepting new patients

Locations

3216 S Sugar Rd
Unit H
Edinburg, TX 78539
Phone (956) 928-1882

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

3910 N Jackson Rd
Pharr, TX 78577
Phone (956) 928-1882

Organizations & group practices 2

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1295745719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3307",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78540",
            "telephone_number": "956-928-1882",
            "fax_number": "956-928-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 N JACKSON RD",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785777768",
            "telephone_number": "956-928-1882",
            "fax_number": "956-928-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHARTHAN",
        "first_name": "ARANDAPALLAM",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G9220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z000083H4",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARANDAPALLAM",
            "last_name": "SIDHARTHAN",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pharr, TX

Sources for this page

Verify at the official NPI Registry.