Raleigh Primary Care Medicine, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RALEIGH PRIMARY CARE MEDICINE, PA

Practice address

3200 Fairhill Dr
Ste. 106
Raleigh, NC 27612-3218

Phone

(919) 781-6655

Fax

(919) 781-0306

NPI assigned

Feb 1, 2006

Last updated

Feb 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Balwinder S Sidhu, M.D.NPI 1962473678

Title

President

Phone

(919) 781-6655

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Balwinder Singh Sidhu, M.D.

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1962473678
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1669444022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 FAIRHILL DR",
            "address_2": "STE. 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123218",
            "telephone_number": "919-781-6655",
            "fax_number": "919-781-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FAIRHILL DR",
            "address_2": "STE. 106",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123218",
            "telephone_number": "919-781-6655",
            "fax_number": "919-781-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH PRIMARY CARE MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "BALWINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-781-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2205481F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8976117",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raleigh Pathology Laboratory Associates PA
• Raleigh Pediatric Associates, PA
• Raleigh Plastic Surgery Center
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• Raleigh Preventative Care, PA
• Raleigh Psychiatric Associates PA
• Raleigh Psychology and Counseling, PA
• Raleigh Psychology PLLC
• Raleigh Psychotherapy, PLLC
• Raleigh Radiology Associates, Inc.

• Internal Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.