Active NPI
Malwinder Singh Sidhu, M.D.
- Gastroenterology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 11493
- Practice address
- 5701 W Charleston Blvd Ste 201
Las Vegas, NV 89146-0903 - Phone
- (702) 750-0313
- Fax
- (702) 487-3197
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 11493 | NV | Primary |
Addresses
Primary practice location
5701 W Charleston Blvd Ste 201
Las Vegas, NV 89146-0903
Mailing address
1930 Village Center Cir Ste 3-448
Las Vegas, NV 89134-6299
Phone (702) 750-0313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720189095 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070710000841 | NV | Practitioner - Gastroenterology | 6002886728 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vishal Gandotra MD Inc
Practice addresses (Care Compare)
5701 W Charleston Blvd
Suite 201
Las Vegas, NV 89146-0903
Phone (702) 750-0313
Hospital & facility affiliations
- Carson Valley Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.97 of 100
- Quality
- 68.2
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11493 | NV | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Current | Accepting new patients | |
| Vishal Gandotra MD PC | Gastroenterology | Current | Accepting new patients |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Current | Accepting new patients | |
| Amarillo Gastroenterology Associates | Gastroenterology | Past | Accepting new patients |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Wyatt Clinic, P.a. | Past | Accepting new patients | |
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Carson Valley Medical Center Rural Health Clinic | Past | Accepting new patients | |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients |
Locations
1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595
1520 Virginia Ranch Rd
Ste 1
Gardnerville, NV 89410
Phone (775) 364-1400
5701 W Charleston Blvd
Ste 201
Las Vegas, NV 89146
Phone (702) 750-0313
1930 Village Center Cir
#3448
Las Vegas, NV 89134
6850 N Durango Dr
Ste 302
Las Vegas, NV 89149
Phone (702) 750-0313
1930 Village Center Cir
Ste 3448
Las Vegas, NV 89134
1905 Civic Center Dr
Ste 101
North Las Vegas, NV 89030
Phone (702) 649-3739
Organizations & group practices 11
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.
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
NV
-
- Gastroenterology Physician
- Amarillo, TX
- NPI 1609909944
Gastroenterology
-
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
-
- Internal Medicine Physician
- Gardnerville, NV
- NPI 1174708879
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1154317964
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1447393152
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831143817
-
- Rural Health Clinic/Center
- Minden, NV
- NPI 1265737084
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1639280431
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1720189095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 VILLAGE CENTER CIR STE 3-448",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891346299",
"telephone_number": "702-750-0313",
"fax_number": "702-228-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W CHARLESTON BLVD STE 201",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460903",
"telephone_number": "702-750-0313",
"fax_number": "702-487-3197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "MALWINDER",
"middle_name": "SINGH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NV",
"license": "11493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720189095",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.