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KEVIN SIDHU DO
NPI 1093165953
Emergency Medicine in Jackson, CA

Active since June 21, 2016PECOS EnrolledAccepts Medicare Assignment
12140 NEW YORK RANCH RD, JACKSON, CA 95642(209) 257-2400 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, Mar 17, 2018, Jan 8, 2018 and 1 more (4 updates tracked since 2016).

About Kevin Sidhu Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN SIDHU DO (NPI 1093165953) is an individual emergency medicine provider in Jackson, California, licensed in Illinois (036158817) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Mc Donough District Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093165953
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKEVIN SIDHUCredential: DO
Location Address12140 NEW YORK RANCH RDJackson, CA 95642-9407
Mailing Address2362 Camberwell DrSaint Louis, MO 63131-2116 · (209) 269-0451
Phone(209) 257-2400
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2015
Enumeration DateJune 21, 2016
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1093165953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 036158817✔ Licensed in MO · 2019045209
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 20A15886 (CA)
12140 NEW YORK RANCH RD, Jackson, CA 95642
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Secondary Practice Locations 2

Location 11035 Placer StRedding, CA 96001-1125 · Phone (530) 246-5710
Location 2100 W US Highway 60Mountain View, MO 65548-8542 · Phone (417) 934-7000

Other Identifiers 1

Medicaid1093165953CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Sidhu Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547528192
PECOS Enrollment IDI20200407001199, I20220404001152
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
209 services201 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
199 services197 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
105 services105 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
19 services19 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number140089
Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$783.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA MARIE COLLIFLOWER RNC,NP
Nurse Practitioner
12140 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2400
GERALYN DA SILVA
Dietitian, Registered
12140 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2400
CHRISTY HOBGOOD
Social Worker (Clinical)
12140 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2400
DR. ALISA A RODA MD
Pediatrics
12140 NEW YORK RANCH RD, JACKSON RANCHERIA HEALTH COMPLEX
JACKSON, CA 95642
Amador County (209) 257-2400
ANGELA GALE GROVERMAN PA-C
Physician Assistant
12140 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2400
BENJAMIN ROBERT MCPHERSON FNP
Nurse Practitioner (Family)
12140 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2400
JABIR KAMAL AKHTAR M.D.
Family Medicine
12140 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2400
TAMARA STOGNER RN, CDE
Registered Nurse (Diabetes Educator)
12140 NEW YORK RANCH RD
JACKSON, CA 95642
Amador County (209) 257-2400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Sidhu's NPI number?

The NPI number for Kevin Sidhu is 1093165953. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Kevin Sidhu located?

Kevin Sidhu practices at 12140 New York Ranch Rd, Jackson, CA 95642. The listed phone number is (209) 257-2400.

What is Kevin Sidhu's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kevin Sidhu enrolled in Medicare?

Yes. Kevin Sidhu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kevin Sidhu affiliated with any hospitals?

According to CMS data, Kevin Sidhu is affiliated with Mc Donough District Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Sidhu was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.