Individual provider Active NPI

Gurcharan Singh Sidhu, MD

  • Hospitalist Physician
  • Fresno, CA
National Provider Identifier
1598827396
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A38687 Issued in CA
Practice address
6700 N First
Suite 111
Fresno, CA 93710
Phone
(559) 436-0450
Fax
(559) 436-0454
NPI assigned
Dec 15, 2006
Last updated
Nov 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00A38687 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A38687 CA
Pulmonary Disease Physician 207RP1001X 00A38687 CA
Hospitalist Physician 208M00000X A38687 CA Primary

Addresses

Primary practice location

6700 N First
Suite 111
Fresno, CA 93710

Mailing address

6700 N First
Suite 111
Fresno, CA 93710
Phone (559) 463-0450

Other identifiers 2

IdentifierTypeStateIssuer
00A386871MedicaidCA
110004599OtherCAMC RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20091221000445 CA Practitioner - Internal Medicine 3274673322 Reassigns benefits to 5 organizations
Practice locations: Clovis, CA; Fresno, CA; Hanford, CA; Kingsburg, CA; Visalia, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Care Medical Group a Professional CorporationGroup PAC ID 7315389376, 6 clinicians

Practice addresses (Care Compare)

3069 Tulare St
Fresno, CA 93721-1434
Phone (559) 412-8812

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A38687CAMDCritical Care Medicine (Internal Medicine) Physician
00A38687CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center CurrentSince Oct 19, 2009 Accepting new patients
Long Term Care Medical Group, Inc Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince Apr 13, 2019 Accepting new patients
Trinity Home Health Services CurrentSince Oct 19, 2009 Accepting new patients
Central California Hospital Medicine Group Inc Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Cep America - California Past Accepting new patients

Locations

2131 Herndon Ave
Ste 103
Clovis, CA 93611
Phone (559) 483-9911

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

650 W Alluvial Ave
Clovis, CA 93611
Phone (559) 251-8463

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 791-8410

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

361 E Grangeville Blvd
Hanford, CA 93230
Phone (559) 582-9221

1101 Stroud Ave
Kingsburg, CA 93631
Phone (559) 341-5755

4444 W Meadow Ave
Visalia, CA 93277
Phone (559) 251-8463

4525 W Tulare Ave
Visalia, CA 93277
Phone (559) 299-2591

Interoperability endpoints

  • Direct secure messaging: gsidhu2714125@direct.trinity-health.org
  • Direct secure messaging: gurcharan.sidhu.1@17371.direct.athenahealth.com

Organizations & group practices 8

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1598827396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N FIRST",
            "address_2": "SUITE 111",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-463-0450",
            "fax_number": "559-436-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N FIRST",
            "address_2": "SUITE 111",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-436-0450",
            "fax_number": "559-436-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "GURCHARAN",
        "middle_name": "SINGH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "00A38687",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A38687",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "00A38687",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A38687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A386871",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC RAILROAD",
            "identifier": "110004599",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.