DR. LALITA V SIDANA M.D.
NPI 1295798668
Internal Medicine in Durham, NC

Q: What is Lalita Sidana's NPI number?

The NPI number for Lalita Sidana is 1295798668. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Q: What is Lalita Sidana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Lalita Sidana was last updated on March 7, 2023. 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.

Active since April 07, 2006PECOS Enrolled

2511 OLD CORNWALLIS RD, SUITE 200, DURHAM, NC 27713(919) 932-5700(919) 933-6881 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lalita V Sidana M.d. NPPES

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

DR. LALITA V SIDANA M.D. (NPI 1295798668) is an individual internal medicine provider in Durham, North Carolina, licensed in North Carolina (200501137) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Unc Lenoir Health Care, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1295798668

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. LALITA V SIDANACredential: M.D.

Location Address2511 OLD CORNWALLIS RD, SUITE 200Durham, NC 27713-1869

Mailing Address2511 Old Cornwallis Rd, Suite 200Durham, NC 27713-1869 · (919) 932-5700 · Fax (919) 933-6881

Phone(919) 932-5700

Fax(919) 933-6881

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateApril 7, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1295798668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 200501137

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2511 OLD CORNWALLIS RD, Durham, NC 27713

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Other Identifiers 1

Other200501137NC · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lalita V Sidana M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012945348

PECOS Enrollment IDI20051005000075

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 11

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

951 services249 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

326 services126 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

282 services159 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

187 services68 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

168 services143 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

77 services58 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

76 services67 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

52 services52 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

32 services32 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

14 services13 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Unc Lenoir Health Care

Acute Care Hospitals · Kinston, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340027

Location100 Airport RdKinston, NC 28501 · Lenoir County

Emergency services Birthing friendly

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340028

Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County

Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340126

Location1705 S Tarboro StWilson, NC 27893 · Wilson County

Emergency services Birthing friendly

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number340132

LocationPO Box 59Henderson, NC 27536 · Vance County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers25 claims47 services$6.68 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers11 claims11 services$2.69 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

1 supplier16 claims19 services$1.12 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers21 claims21 services$36.25 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress E0294

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$45.44 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers14 claims14 services$37.97 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 20

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

GABRIEL SAYRE MAECK LCSW

Social Worker (Clinical)