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KENDALL C. SIDUN DO
NPI 1417745159
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 30, 2025PECOS Enrolled
1 UNIVERSITY OF NEW MEXICO, MSC10 5590, ALBUQUERQUE, NM 87131(505) 272-2345(505) 272-2374 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kendall C. Sidun Do NPPES

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

KENDALL C. SIDUN DO (NPI 1417745159) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2025-0118) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417745159
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENDALL C. SIDUNCredential: DO
Location Address1 UNIVERSITY OF NEW MEXICO, MSC10 5590Albuquerque, NM 87131-0001
Mailing Address1 University Of New Mexico, Msc10 5590Albuquerque, NM 87131-0001 · (505) 272-2345 · Fax (505) 272-2374
Phone(505) 272-2345
Fax(505) 272-2374
Sole ProprietorNo
Enumeration DateApril 30, 2025
Last NPPES UpdateJune 12, 2025
NPPES CertifiedMay 26, 2025
✔ NPI 1417745159 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
License✔ Licensed in NM · RS2025-0118
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.
1 UNIVERSITY OF NEW MEXICO, MSC10 5590, Albuquerque, NM 87131
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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)

Kendall C. Sidun Do 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.

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 Kendall Sidun's NPI number?

The NPI number for Kendall Sidun is 1417745159. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Where is Kendall Sidun located?

Kendall Sidun practices at 1 University Of New Mexico, Msc10 5590, Albuquerque, NM 87131. The listed phone number is (505) 272-2345.

What is Kendall Sidun's specialty?

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

Is Kendall Sidun enrolled in Medicare?

Yes. Kendall Sidun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kendall Sidun was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.