Active NPI
Kanwar Ajit Singh Sidhu, M.D.
- Psychiatry Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101253868
- Practice address
- 501 N 2ND St
Richmond, VA 23219-1359 - Phone
- (804) 628-6777
- Fax
- (804) 628-6768
- NPI assigned
- Jun 20, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD61019228 | WA | |
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | MD61019228 | WA | |
| Psychiatry Physician | 2084P0800X | 0101253868 | VA | Primary |
Addresses
Primary practice location
501 N 2ND St
Richmond, VA 23219-1359
Mailing address
PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100
Other practice location 1
2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 856-6021
Other practice location 2
2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-6993
Other practice location 3
1117 Spring St
Friday Harbor, WA 98250-9782
Phone (360) 378-1738
Other practice location 4
1250 E Marshall St
Richmond, VA 23298-5051
Phone (804) 628-6777
Other practice location 5
4545 Cordata Pkwy Ste 2A
Bellingham, WA 98226-7264
Phone (360) 752-5220
Other practice location 6
4545 Cordata Pkwy Ste B
Bellingham, WA 98226-7263
Phone (360) 752-5220
Other practice location 7
2211 Rimland Dr Ste 320
Bellingham, WA 98226-6014
Phone (360) 752-5175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-9373
3015 Squalicum Pkwy
Bellingham, WA 98225-1906
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.81 of 100
- Quality
- 86.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61019228 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Psychiatry | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Peacehealth | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients | |
| Virginia Commonwealth University Health System Authority | Past | Accepting new patients |
Locations
4545 Cordata Pkwy
Ste 2A
Bellingham, WA 98226
Phone (360) 752-5220
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400
4545 Cordata Pkwy
Ste B
Bellingham, WA 98226
Phone (360) 752-5220
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
2211 Rimland Dr
Ste 320
Bellingham, WA 98226
Phone (360) 756-4805
1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738
2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021
Interoperability endpoints
- ksidhu434081@direct.peacehealth.org
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.
-
- Critical Access Hospital
- Friday Harbor, WA
- NPI 1487917233
-
- Emergency Medicine Physician
- Friday Harbor, WA
- NPI 1508129842
-
- Hospitalist Physician
- Sedro Woolley, WA
- NPI 1548698806
-
- Clinic Pharmacy
- Richmond, VA
- NPI 1659456077
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
-
- Psychiatric Hospital Unit
- Bellingham, WA
- NPI 1710945910
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
-
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1891990735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 91734",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232911734",
"telephone_number": "804-358-6100",
"fax_number": "804-342-7619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 2ND ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191359",
"telephone_number": "804-628-6777",
"fax_number": "804-628-6768"
}
],
"practiceLocations": [
{
"address_1": "2000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Sedro Woolley",
"state": "WA",
"postal_code": "982844327",
"country_code": "US",
"telephone_number": "360-856-6021",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2901 Squalicum Pkwy",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982251851",
"country_code": "US",
"telephone_number": "360-788-6993",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1117 Spring St",
"address_purpose": "LOCATION",
"city": "Friday Harbor",
"state": "WA",
"postal_code": "982509782",
"country_code": "US",
"telephone_number": "360-378-1738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985051",
"country_code": "US",
"telephone_number": "804-628-6777",
"fax_number": "804-628-6768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4545 Cordata Pkwy Ste 2A",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982267264",
"country_code": "US",
"telephone_number": "360-752-5220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4545 Cordata Pkwy Ste B",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982267263",
"country_code": "US",
"telephone_number": "360-752-5220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2211 Rimland Dr Ste 320",
"address_purpose": "LOCATION",
"city": "Bellingham",
"state": "WA",
"postal_code": "982266014",
"country_code": "US",
"telephone_number": "360-752-5175",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDHU",
"first_name": "KANWAR AJIT",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-20",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD61019228",
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "WA",
"license": "MD61019228",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101253868",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.