NPIMap

Individual provider Active NPI

Baljeet S. Sidhu, M.D.

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1336292176
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68993 Issued in CA
Practice address
1313 E Herndon Ave Ste 103
Fresno, CA 93720-3306
Phone
(559) 431-7810
Fax
(559) 431-7765
NPI assigned
Jan 18, 2007
Last updated
May 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A68993 CA Primary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X A68993 CA
Cardiovascular Disease Physician 207RC0000X A68993 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A68993 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A68993 CA
Gastroenterology Physician 207RG0100X A68993 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A68993 CA
Hematology (Internal Medicine) Physician 207RH0000X A68993 CA
Interventional Cardiology Physician 207RI0011X A68993 CA
Pulmonary Disease Physician 207RP1001X A68993 CA
Rheumatology Physician 207RR0500X A68993 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X A68993 CA

Addresses

Primary practice location

1313 E Herndon Ave Ste 103
Fresno, CA 93720-3306

Mailing address

1313 E Herndon Ave Ste 103
Fresno, CA 93720-3306
Phone (559) 431-7810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070329000557 CA Practitioner - Internal MedicinePractitioner - HematologyPractitioner - RheumatologyPractitioner - Allergy/ImmunologyPractitioner - Cardiovascular Disease (Cardiology) 3476657586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology, Cardiovascular Disease (Cardiology), Hematology, Rheumatology
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1313 E Herndon Ave
Suite 103
Fresno, CA 93720-3306
Phone (559) 431-7810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68993CAMDPharmacist
A68993CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baljeet S. Sidhu M.D. Inc Single Specialty CurrentSince Jun 24, 1999 Accepting new patients
Bone Density Medical Group of Fresno, Inc. Single Specialty Past Accepting new patients

Locations

1313 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 431-7810

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1336292176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-431-7810",
            "fax_number": "559-431-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-431-7810",
            "fax_number": "559-431-7765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "BALJEET",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68993",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A68993",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A68993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.