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DR. DIVYA ULLAL SIDHU M.D., M.P.H.
NPI 1124385547
Pediatrics in Fresno, CA

Active since April 23, 2012PECOS Enrolled
568 E HERNDON AVE STE 101, FRESNO, CA 93720(559) 224-7990(559) 224-5617 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2022, Nov 15, 2022, Jun 4, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Divya Ullal Sidhu M.d., M.p.h. NPPES

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

DR. DIVYA ULLAL SIDHU M.D., M.P.H. (NPI 1124385547) is an individual pediatrics provider in Fresno, California, licensed in California (A170542) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124385547
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. DIVYA ULLAL SIDHUCredential: M.D., M.P.H.
Location Address568 E HERNDON AVE STE 101Fresno, CA 93720-2989
Mailing Address568 E Herndon Ave Ste 101Fresno, CA 93720-2989 · (559) 251-7505
Phone(559) 224-7990
Fax(559) 224-5617
Sole ProprietorNo
Enumeration DateApril 23, 2012
Last NPPES UpdateDecember 13, 20225 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1124385547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A170542
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
568 E HERNDON AVE STE 101, Fresno, CA 93720
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Divya Ullal Sidhu M.d., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Divya Sidhu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Medical Partners Group, Inc.
Same address
Internal Medicine
568 E HERNDON AVE STE 102
Fresno, CA 93720
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group
NPI 1902528441 (559) 221-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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.

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 Divya Sidhu's NPI number?

The NPI number for Divya Sidhu is 1124385547. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Where is Divya Sidhu located?

Divya Sidhu practices at 568 E Herndon Ave Ste 101, Fresno, CA 93720. The listed phone number is (559) 224-7990.

What is Divya Sidhu's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Divya Sidhu enrolled in Medicare?

Yes. Divya Sidhu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Divya Sidhu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divya Sidhu reassigns Medicare benefits to The Medical Partners Group, Inc. (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Divya Sidhu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Divya Sidhu was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.