Active NPI
Ranjit Singh Sidhu, MD
- General Practice Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A182685
- Practice address
- 2880 N Tenaya Way FL 2
Las Vegas, NV 89128-0618 - Phone
- (702) 962-5000
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A182685 | CA | Primary |
| Surgery Physician | 208600000X | A182685 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2880 N Tenaya Way FL 2
Las Vegas, NV 89128-0618
Mailing address
2880 N Tenaya Way FL 2
Las Vegas, NV 89128-0618
Other practice location 1
6900 N Pecos Rd
North Las Vegas, NV 89086-4400
Phone (702) 791-9000
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 |
|---|---|---|---|---|
| I20251226002297 | NV | Practitioner - Diagnostic Radiology | 4486029774 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12554 Riata Vista Cir
FL 1
Austin, TX 78727-7165
4055 Valley View LN
Suite 400
Dallas, TX 75244-4910
4055 Valley View LN
Suite 400
Dallas, TX 75244-5071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Bandt Birkin Kollins & Wong PLLC | Current | Accepting new patients |
Locations
2811 W Horizon Ridge Pkwy
Henderson, NV 89052
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
NV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1811575335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 N TENAYA WAY FL 2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 N TENAYA WAY FL 2",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891280618",
"telephone_number": "702-962-5000"
}
],
"practiceLocations": [
{
"address_1": "6900 N Pecos Rd",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890864400",
"country_code": "US",
"telephone_number": "702-791-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDHU",
"first_name": "RANJIT",
"middle_name": "SINGH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A182685",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A182685",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jul 24, 2024; 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.