SIDART PRADEEP MD
NPI 1306586862
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Sidart Pradeep's NPI number?

The NPI number for Sidart Pradeep is 1306586862. It was assigned to this individual provider in the NPPES registry on March 31, 2022.

Q: What is Sidart Pradeep's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Sidart Pradeep was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 31, 2022PECOS Enrolled

1400 8TH AVE, FORT WORTH, TX 76104(817) 926-2544 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Sidart Pradeep Md NPPES

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

SIDART PRADEEP MD (NPI 1306586862) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306586862

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSIDART PRADEEPCredential: MD

Location Address1400 8TH AVEFort Worth, TX 76104-4110

Mailing Address6108 Laguna Cliff LnAustin, TX 78734-1177

Phone(817) 926-2544

Sole ProprietorNo

Enumeration DateMarch 31, 2022

NPPES CertifiedMarch 31, 2022

✔ NPI 1306586862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 8TH AVE, Fort Worth, TX 76104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sidart Pradeep Md 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.

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.

JOEY MAYOR MD

Emergency Medicine