Active NPI
Virinder Sidhu, M.D.
- Internal Medicine Physician
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD27625
- Practice address
- 302 Husson Ave Ste 2
Bangor, ME 04401-3373 - Phone
- (207) 941-2373
- NPI assigned
- Apr 11, 2018
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD474943 | PA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | MD27625 | ME | Primary |
Addresses
Primary practice location
302 Husson Ave Ste 2
Bangor, ME 04401-3373
Mailing address
302 Husson Ave Ste 2
Bangor, ME 04401-3373
Phone (207) 941-2373
Other practice location 1
2501 W 12th St Ste C10
Erie, PA 16505-4527
Phone (814) 580-5600
Other practice location 2
4950 Buffalo Rd
Erie, PA 16510-2304
Phone (814) 899-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Northeast Dr
Northern Light Cardiology
Bangor, ME 04401-4332
Phone (207) 275-3800
302 Husson Ave
Bangor, ME 04401-3374
Phone (207) 947-6141
417 State St
Suite 20
Bangor, ME 04401-6637
Phone (207) 275-1500
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
885 Union St
Suite 130
Bangor, ME 04401-3088
Phone (207) 973-4185
895 Union St
Suite 12
Bangor, ME 04401-3054
Phone (207) 973-7979
Hospital & facility affiliations
- Centerwell Home Health
- Northern Light Home Care & Hospice
- Amedisys Home Health
- Northern Light Eastern Maine Medical Center
- St Joseph Hospital
- Northern Light Maine Coast Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients |
Locations
302 Husson Ave
Ste 2
Bangor, ME 04401
Phone (207) 941-2373
489 State St
Bangor, ME 04401
Phone (207) 973-8837
302 Husson Ave
Ste 1
Bangor, ME 04401
Phone (207) 947-6141
43 Whiting Hill Rd
Ste 250
Brewer, ME 04412
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.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bangor, ME
- NPI 1316171796
-
- Home Health Agency
- Bangor, ME
- NPI 1982638771
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Ellsworth, ME
- NPI 1740249739
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- Home Health Agency
- South Portland, ME
- NPI 1245236306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1891292355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 HUSSON AVE STE 2",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013373",
"telephone_number": "207-941-2373",
"fax_number": "814-455-2584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 HUSSON AVE STE 2",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013373",
"telephone_number": "207-941-2373"
}
],
"practiceLocations": [
{
"address_1": "2501 W 12th St Ste C10",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165054527",
"country_code": "US",
"telephone_number": "814-580-5600",
"fax_number": "814-455-2584",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4950 Buffalo Rd",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165102304",
"country_code": "US",
"telephone_number": "814-899-7000",
"fax_number": "814-899-0334",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDHU",
"first_name": "VIRINDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-11",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD474943",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD27625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.