Individual provider Active NPI

Malwinder Singh Sidhu, M.D.

  • Gastroenterology Physician
  • Las Vegas, NV
National Provider Identifier
1720189095
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
11493 Issued in NV
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

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1720189095MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 6800955410, 9 clinicians

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 Hospital, Gardnerville, NV, CCN 291306

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
68.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11493NVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Jan 1, 2026 Accepting new patients
Vishal Gandotra MD PC Gastroenterology CurrentSince Jan 1, 2023 Accepting new patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation CurrentSince Jan 1, 2026 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.

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": "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

Verify at the official NPI Registry.