Individual provider Active NPI

Parminder Singh Sidhu, M.D

  • Internal Medicine Physician
  • Fountain Hills, AZ
National Provider Identifier
1629379904
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
43351 Issued in AZ
Practice address
16838 E Palisades Blvd Ste 153
Fountain Hills, AZ 85268-3786
Phone
(480) 816-3131
Fax
(844) 207-3461
NPI assigned
Nov 3, 2010
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 43351 AZ Primary

Addresses

Primary practice location

16838 E Palisades Blvd Ste 153
Fountain Hills, AZ 85268-3786

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (602) 281-3191

Other identifiers 1

IdentifierTypeStateIssuer
581127MedicaidAZ

Other names 1

  • Parminder Singh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101220000450 AZ Practitioner - Internal Medicine 4880882794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8041 N Black Canyon Hwy
Phoenix, AZ 85021-4876
Phone (602) 249-0115

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC Family Medicine CurrentSince May 25, 2011 Accepting new patients
American Physicians, Inc. CurrentSince Jan 1, 2021 Accepting new patients
4C Medical Group PLC CurrentSince May 25, 2011 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 8, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 8, 2023 Accepting new patients
American Physicians, Inc Family Medicine CurrentSince Jan 1, 2021 Accepting new patients
Mydoctor LLC Internal Medicine Past Accepting new patients

Locations

16838 E Palisades Blvd
Ste 153
Fountain Hills, AZ 85268
Phone (480) 375-6725

16838 E Palisades Blvd
Ste C153
Fountain Hls, AZ 85268
Phone (480) 445-9199

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

8041 N Black Canyon Hwy
Phoenix, AZ 85021
Phone (602) 249-0115

10229 N 92nd St
Ste I103
Scottsdale, AZ 85258
Phone (480) 422-9742

6501 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 368-7893

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

15021 W Bell Rd
Surprise, AZ 85374
Phone (602) 246-5506

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

Interoperability endpoints

  • Direct secure messaging: psidhu114467@westdirect.optum.com

Organizations & group practices 7

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": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1629379904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "602-281-3191",
            "fax_number": "866-819-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16838 E PALISADES BLVD STE 153",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683786",
            "telephone_number": "480-816-3131",
            "fax_number": "844-207-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "PARMINDER",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-03",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "43351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581127",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARMINDER",
            "last_name": "SINGH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Hills, AZ

Sources for this page

Verify at the official NPI Registry.