Individual provider Active NPI

Rajinder Singh Sidhu, MD

  • Hospitalist Physician
  • Newark, NY
National Provider Identifier
1609934876
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
290886 Issued in NY
Practice address
1200 Driving Park Ave
Newark, NY 14513
Phone
(315) 359-2123
Fax
(315) 359-2167
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 290886 NY Primary

Addresses

Primary practice location

1200 Driving Park Ave
Newark, NY 14513

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (315) 359-2123

Other practice location 1

111 Hospital Dr
hospitalist coordinator
Tarboro, NC 27886
Phone (252) 641-7700

Other practice location 2

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-5067

Other practice location 3

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180222000642 NY Practitioner - HospitalistPractitioner - Geriatric Medicine 3870696990 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Geriatric Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newark Wayne Community HospitalGroup PAC ID 0446154199, 129 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1200 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2266

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 332-2022

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

  • Newark-Wayne Community Hospital Hospital, Newark, NY, CCN 330030
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Wayne Community Hospital CurrentSince Jul 1, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 1, 2020 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Feb 17, 2018 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 1, 2020 Accepting new patients
Western New York Medical Practice PC CurrentSince Feb 17, 2018 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jul 1, 2018 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Feb 17, 2018 Accepting new patients
Rochester General Hospital Geriatric Medicine CurrentSince Feb 17, 2018 Accepting new patients
Rochester General Hospital CurrentSince Feb 17, 2018 Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Organizations & group practices 9

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 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1609934876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "315-359-2123",
            "fax_number": "315-359-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "14513",
            "telephone_number": "315-359-2123",
            "fax_number": "315-359-2167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Hospital Dr",
            "address_2": "hospitalist coordinator",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "27886",
            "country_code": "US",
            "telephone_number": "252-641-7700",
            "fax_number": "252-641-7313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-5067",
            "fax_number": "585-922-2908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1472",
            "fax_number": "315-462-2639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "RAJINDER",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "290886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.