DR. ALFRED A SIDHOM M.D.
NPI 1114923265
Urology in Anaheim, CA

Q: What is Alfred Sidhom's NPI number?

The NPI number for Alfred Sidhom is 1114923265. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Q: What is Alfred Sidhom's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Alfred Sidhom was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment

1211 W LA PALMA AVE STE 502, ANAHEIM, CA 92801(714) 776-7090(714) 776-5632 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Alfred A Sidhom M.d. NPPES

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

DR. ALFRED A SIDHOM M.D. (NPI 1114923265) is an individual urology provider in Anaheim, California, licensed in California (A35526) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1972).

NPPES Registry Identity

NPI1114923265

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. ALFRED A SIDHOMCredential: M.D.

Location Address1211 W LA PALMA AVE STE 502Anaheim, CA 92801-2812

Mailing Address1211 W La Palma Ave, Ste 502Anaheim, CA 92801-2812 · (714) 776-7090 · Fax (714) 776-5632

Phone(714) 776-7090

Fax(714) 776-5632

Sole ProprietorNo

Medical School CMSOtherGraduated 1972

Enumeration DateJune 23, 2005

Last NPPES UpdateApril 20, 2020

NPPES CertifiedApril 20, 2020

✔ NPI 1114923265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A35526

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1211 W LA PALMA AVE STE 502, Anaheim, CA 92801

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Other Identifiers 1

Medicaid00A355260M92CA

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

Dr. Alfred A Sidhom M.d. 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 ID7012821101

PECOS Enrollment IDI20101221000389

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92801 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. ANTHONY B REDDY M.D.

Specialist

1211 W LA PALMA AVE STE 502
ANAHEIM, CA 92801

Orange County (714) 776-7090

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 Alfred Sidhom's NPI number?

The NPI number for Alfred Sidhom is 1114923265. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Alfred Sidhom located?

Alfred Sidhom practices at 1211 W La Palma Ave Ste 502, Anaheim, CA 92801. The listed phone number is (714) 776-7090.

What is Alfred Sidhom's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Alfred Sidhom enrolled in Medicare?

Yes. Alfred Sidhom 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.

When was this NPI record last updated?

The NPPES record for Alfred Sidhom was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.