Individual provider Active NPI

Jaskirat Singh Sidhu, MD

  • Psychiatry Physician
  • Vancouver, WA
National Provider Identifier
1871024976
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD215892 Issued in OR
Practice address
13215 SE Mill Plain Blvd Ste C81101
Vancouver, WA 98684-6991
Phone
(253) 385-3710
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD61420936 WA
Psychiatry Physician 2084P0800X MD215892 OR Primary

Addresses

Primary practice location

13215 SE Mill Plain Blvd Ste C81101
Vancouver, WA 98684-6991

Mailing address

13215 SE Mill Plain Blvd Ste C81101
Vancouver, WA 98684-6991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240320003801 OR Practitioner - Psychiatry 4981974417 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD215892ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lane County Oregon CurrentSince Jan 7, 2024 Accepting new patients

Locations

2411 Martin Luther King Jr Blvd
Eugene, OR 97401
Phone (541) 682-3608

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Interoperability endpoints

  • Direct secure messaging: jaskirat.sidhu.p1@direct.lanecounty.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1871024976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13215 SE MILL PLAIN BLVD STE C81101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13215 SE MILL PLAIN BLVD STE C81101",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846991",
            "telephone_number": "253-385-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "JASKIRAT",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61420936",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD215892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.