Individual provider Active NPI

Virinder Sidhu, M.D.

  • Internal Medicine Physician
  • Bangor, ME
National Provider Identifier
1891292355
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD27625 Issued in ME
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

Updated by the provider on Jul 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220002169 ME Practitioner - Internal Medicine 0648522136 Reassigns benefits to 1 organization

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
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

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 Home health agency, Bangor, ME, CCN 207045
  • Northern Light Home Care & Hospice Home health agency, So Portland, ME, CCN 207020
  • Amedisys Home Health Home health agency, Bangor, ME, CCN 207075
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • St Joseph Hospital Hospital, Bangor, ME, CCN 200001
  • Northern Light Maine Coast Hospital Hospital, Ellsworth, ME, CCN 200050

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Maine Medical Center CurrentSince Mar 31, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Mar 31, 2024 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.