Individual provider Active NPI

Jasvinder Singh Sidhu, MD

  • Clinical Cardiac Electrophysiology Physician
  • Victoria, TX
National Provider Identifier
1447361357
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
L5909 Issued in TX
Practice address
601 E San Antonio St Ste 204W
Victoria, TX 77901-0001
Phone
(361) 572-4750
NPI assigned
Aug 31, 2006
Last updated
Aug 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X L5909 TX Primary

Addresses

Primary practice location

601 E San Antonio St Ste 204W
Victoria, TX 77901-0001

Mailing address

218Aw Main St C
Belleville, IL 62220-1504
Phone (281) 637-7680

Other practice location 1

1327 Lake Pointe Pkwy 430
Sugar Land, TX 77478-4562
Phone (281) 637-7680

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jasvinder.sidhu.1@1902.direct.athenahealth.com

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
I20080107000558 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7113007931 Reassigns benefits to 1 organization
Practice locations: Sugar Land, TX

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1602 Rock Prairie Rd
College Station, TX 77845-0001

506 E San Antonio St
Victoria, TX 77901-6060
Phone (361) 575-7441

601 E San Antonio
Suite 401W
Victoria, TX 77901-6008
Phone (361) 485-1885

601 E San Antonio St
204W Crossroads Medical Associates
Victoria, TX 77901-0001
Phone (361) 572-4750

601 E San Antonio St
Suite 203W
Victoria, TX 77901-6051
Phone (361) 576-0004

601 E San Antonio St
Suite 402W
Victoria, TX 77901-6052
Phone (361) 485-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5909TXMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2017 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2017 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
TMH Physician Organization Clinical Cardiac Electrophysiology Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

1602 E Houston St
Ste C
Beeville, TX 78102
Phone (361) 354-2900

1707 E Red River St
Victoria, TX 77901
Phone (361) 570-1674

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

601 E San Antonio St
Ste 203W
Victoria, TX 77901
Phone (361) 485-1885

601 E San Antonio St
Ste 204W
Victoria, TX 77901
Phone (361) 572-4750

Interoperability endpoints

  • Direct secure messaging: jasvinder.sidhu.1@1902.direct.athenahealth.com

Organizations & group practices 6

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 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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1447361357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218AW MAIN ST C",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201504",
            "telephone_number": "281-637-7680",
            "fax_number": "281-637-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST STE 204W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779010001",
            "telephone_number": "361-572-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1327 LAKE POINTE PKWY 430",
            "address_purpose": "LOCATION",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784562",
            "country_code": "US",
            "telephone_number": "281-637-7680",
            "fax_number": "281-637-8057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JASVINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "L5909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jasvinder.sidhu.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "601 E San Antonio St Ste 204W",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779010001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.