Individual provider Active NPI

Virinder Sidhu, ACNP

  • Acute Care Nurse Practitioner
  • Middletown, OH
National Provider Identifier
1760731590
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP13909 Issued in OH
Practice address
103 McKnight Dr
Suite a
Middletown, OH 45044-4890
Phone
(513) 217-6400
Fax
(513) 217-6037
NPI assigned
Sep 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.333035 OH
Acute Care Nurse Practitioner 363LA2100X NP13909 OH Primary

Addresses

Primary practice location

103 McKnight Dr
Suite a
Middletown, OH 45044-4890

Mailing address

103 McKnight Dr
Suite a
Middletown, OH 45044-4890
Phone (513) 217-6400

Other practice location 1

235 N Breiel Blvd
Middletown, OH 45042-3807
Phone (513) 783-4222

Other practice location 2

5275 State Route 122 Ste 200
Franklin, OH 45005-9617
Phone (513) 217-6400

Other identifiers 1

IdentifierTypeStateIssuer
0074909MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121024000375 OH Practitioner - Nurse Practitioner 1951551126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

450 N Hyatt St
Suite 304
Tipp City, OH 45371-1433
Phone (937) 832-4773

5275 State Route 122
Suite 200
Franklin, OH 45005-9617
Phone (513) 217-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
66.25
Promoting interoperability
100
Improvement activities
40
Cost
71.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.333035OHMDRegistered Nurse
NP13909OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince May 4, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jun 9, 2025 Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 10, 2017 Accepting new patients
Theoria Medical CurrentSince Apr 8, 2022 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Apr 10, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations (25 of 47)

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

41800 W 11 Mile Rd
Novi, MI 48375
Phone (248) 282-5044

525 S Dunbridge Rd
Bowling Green, OH 43402
Phone (419) 549-5963

1471 Wills Creek Valley Dr
Cambridge, OH 43725
Phone (740) 254-4581

36 Lehman Dr
Canal Wnchstr, OH 43110
Phone (614) 834-2273

5999 Bender Rd
Cincinnati, OH 45233
Phone (513) 922-1440

4307 Bridgetown Rd
Cincinnati, OH 45211
Phone (513) 377-1512

3627 Harvey Ave
Cincinnati, OH 45229
Phone (513) 961-8881

1155 Atwater Ave
Circleville, OH 43113
Phone (614) 592-0240

30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300

800 Ambrose Dr
Delphos, OH 45833
Phone (419) 692-0590

425 Lauricella Ct
Englewood, OH 45322
Phone (937) 836-5143

5275 State Route 122
Ste 200
Franklin, OH 45005

1865 Countryside Dr
Fremont, OH 43420
Phone (248) 660-1200

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

150 Omni Lake Pkwy
Hudson, OH 44236
Phone (234) 284-4504

1900 E Main St
Lancaster, OH 43130
Phone (740) 653-8630

901 E Main St
Leipsic, OH 45856
Phone (418) 994-3210

370 N Eastown Rd
Lima, OH 45807
Phone (419) 221-6051

300 Arlington Ave
Logan, OH 43138
Phone (740) 385-2155

6831 Chapel Rd
Madison, OH 44057
Phone (440) 428-5103

6935 Monclova Rd
Maumee, OH 43537
Phone (419) 866-3030

2108 Lander Rd
Mayfield Hts, OH 44124
Phone (440) 226-7421

103 McKnight Dr
Ste A
Middletown, OH 45044
Phone (513) 424-1440

4400 Vannest Ave
Middletown, OH 45042
Phone (513) 217-5187

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 and National Provider Directory roles.

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1760731590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MCKNIGHT DR",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444890",
            "telephone_number": "513-217-6400",
            "fax_number": "513-217-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MCKNIGHT DR",
            "address_2": "SUITE A",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450444890",
            "telephone_number": "513-217-6400",
            "fax_number": "513-217-6037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 N Breiel Blvd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450423807",
            "country_code": "US",
            "telephone_number": "513-783-4222",
            "fax_number": "513-783-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5275 State Route 122 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "OH",
            "postal_code": "450059617",
            "country_code": "US",
            "telephone_number": "513-217-6400",
            "fax_number": "937-557-6435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "VIRINDER",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.333035",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "NP13909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074909",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

Verify at the official NPI Registry.