Individual provider Active NPI

Feroze Y Sidhwa, MD, MPH

  • Surgical Critical Care Physician
  • Boston, MA
National Provider Identifier
1619276896
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
165468 Issued in CA
Practice address
725 Albany Street
3Rd Floor, Suite a
Boston, MA 02118-4776
Phone
(617) 414-4861
NPI assigned
Mar 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 165468 CA Primary

Addresses

Primary practice location

725 Albany Street
3Rd Floor, Suite a
Boston, MA 02118-4776

Mailing address

110 W Fremont St Unit 702
Stockton, CA 95202-1915
Phone (443) 802-7789

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fsidhwa@sjgh.org Direct San Joaquin General Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190102002626 PA Practitioner - General Surgery 4981827847 Reassigns benefits to 1 organization
I20200207001013 CA Practitioner - General Surgery 4981827847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical School at San Antonio, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Joaquin Faculty Medical GroupGroup PAC ID 4082631395, 126 clinicians

Practice addresses (Care Compare)

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
71.65
Improvement activities
40
Cost
57.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165468CAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Jan 18, 2020 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Nov 16, 2019 Accepting new patients
County of San Joaquin CurrentSince Jan 18, 2020 Accepting new patients
Suburban Medical Group LLC CurrentSince Nov 5, 2018 Accepting new patients
Boston University General Surgical Associates, Inc. Past Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

2705 DeKalb Pike
Ste 309
Norristown, PA 19401
Phone (610) 275-0200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1301184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1619276896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W FREMONT ST UNIT 702",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021915",
            "telephone_number": "443-802-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 ALBANY STREET",
            "address_2": "3RD FLOOR, SUITE A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021184776",
            "telephone_number": "617-414-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHWA",
        "first_name": "FEROZE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-27",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "165468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fsidhwa@sjgh.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "San Joaquin General Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 W Hospital Rd",
            "city": "French Camp",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952319693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.