Active NPI
Kuldeep Singh Sidhu, M.D.
- Orthopaedic Surgery Physician
- Tracy, CA
National Provider Identifier
1952383614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A38277
- Practice address
- 1450 Bessie Ave
Tracy, CA 95376-3417 - Phone
- (209) 835-4888
- Fax
- (209) 835-6424
- NPI assigned
- Nov 17, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A38277 | CA | Primary |
Addresses
Primary practice location
1450 Bessie Ave
Tracy, CA 95376-3417
Mailing address
1450 Bessie Ave
Tracy, CA 95376-3417
Phone (209) 835-4888
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A382770 | Other | CA | CA MEDICAL LICENSE NO |
| 00002 | Other | CA | UNITED HEALTHCARE |
| 027942 | Other | CA | HILL PHYSICIANS |
| A00038277 | Other | CA | BLUE CROSS |
| ZZZ59760Z | Other | CA | BLUE SHIELD |
| 015789 | Other | CA | HEALTH NET |
| 17463 | Other | CA | INTERPLAN |
| 4310746 | Other | CA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A38277 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracy Orthopedics and Sports Medical Center | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- kuldeep.sidhu@1229.chartlogic.direct-ci.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.
-
- Orthopaedic Surgery Physician
- Tracy, CA
- NPI 1902456379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265587200000",
"number": "1952383614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 BESSIE AVE",
"city": "TRACY",
"state": "CA",
"postal_code": "953763417",
"telephone_number": "209-835-4888",
"fax_number": "209-835-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 BESSIE AVE",
"city": "TRACY",
"state": "CA",
"postal_code": "953763417",
"telephone_number": "209-835-4888",
"fax_number": "209-835-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDHU",
"first_name": "KULDEEP",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2010-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A38277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA MEDICAL LICENSE NO",
"identifier": "A382770",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "00002",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HILL PHYSICIANS",
"identifier": "027942",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "A00038277",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ59760Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "015789",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERPLAN",
"identifier": "17463",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4310746",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.