Individual provider Active NPI

Sukhampal Singh Sidhu, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Fresno, CA
National Provider Identifier
1871851782
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A167224 Issued in CA
Practice address
1313 E Herndon Ave Ste 106
Fresno, CA 93720-3306
Phone
(559) 228-6600
Fax
(559) 226-3709
NPI assigned
Apr 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X A167224 CA Primary

Addresses

Primary practice location

1313 E Herndon Ave Ste 106
Fresno, CA 93720-3306

Mailing address

1313 E Herndon Ave Ste 106
Fresno, CA 93720-3306
Phone (559) 228-6600

Other practice location 1

7202 N Millbrook Ave Ste 105
Fresno, CA 93720-3341
Phone (559) 450-4463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200408001543 CA Practitioner - Endocrinology 9830331016 Reassigns benefits to 5 organizations
Practice locations: Fresno, CA; Clovis, CA; Visalia, CA

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

7202 N Millbrook Ave
Suite 105
Fresno, CA 93720-3341
Phone (559) 450-4463

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
59.59 of 100Reported as group
Quality
43.03
Promoting interoperability
0
Improvement activities
40
Cost
72.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167224CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Hospital Medicine Group Inc Multi-Specialty CurrentSince May 1, 2020 Accepting new patients
California Endocrine Consultants Professional Corporation Multi-Specialty CurrentSince Jul 1, 2024 Accepting new patients
The Nephrology Group, Inc. Clinical Lab CurrentSince May 1, 2021 Accepting new patients
The Nephrology Group, Inc. Multi-Specialty CurrentSince May 1, 2021 Accepting new patients
Long Term Care Medical Group, Inc Multi-Specialty CurrentSince Jun 10, 2024 Accepting new patients
LQMG Medical Group Inc. Multi-Specialty Current Accepting new patients
Saint Agnes Medical Foundation Multi-Specialty CurrentSince Jun 1, 2025 Accepting new patients

Locations

650 W Alluvial Ave
Clovis, CA 93611
Phone (559) 251-8463

7202 N Millbrook Ave
Ste 105
Fresno, CA 93720
Phone (559) 450-4463

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

3034 E Herndon Ave
Fresno, CA 93720
Phone (559) 320-0883

568 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 228-9660

1313 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (559) 320-0701

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

1925 E Houston Ave
Visalia, CA 93292
Phone (559) 732-1020

4525 W Tulare Ave
Visalia, CA 93277
Phone (559) 299-2591

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": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1871851782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-228-6600",
            "fax_number": "559-226-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 E HERNDON AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203306",
            "telephone_number": "559-228-6600",
            "fax_number": "559-226-3709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7202 N Millbrook Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203341",
            "country_code": "US",
            "telephone_number": "559-450-4463",
            "fax_number": "559-450-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDHU",
        "first_name": "SUKHAMPAL",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A167224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.