DR. BALBIR SIDHU M.D
NPI 1609875434
Internal Medicine - Cardiovascular Disease in Manassas, VA

Q: What is Balbir Sidhu's NPI number?

The NPI number for Balbir Sidhu is 1609875434. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Q: What is Balbir Sidhu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Balbir Sidhu was last updated on June 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

8100 ASHTON AVE, SUITE 200, MANASSAS, VA 20109(703) 331-0300(703) 331-0254 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Balbir Sidhu M.d NPPES

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

DR. BALBIR SIDHU M.D (NPI 1609875434) is an individual cardiovascular disease provider in Manassas, Virginia, licensed in Virginia (0101047068) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Georgetown University School Of Medicine (1989).

NPPES Registry Identity

NPI1609875434

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. BALBIR SIDHUCredential: M.D

Location Address8100 ASHTON AVE, SUITE 200Manassas, VA 20109-5622

Mailing Address8100 Ashton Ave, Suite 200Manassas, VA 20109-5622 · (703) 331-0300 · Fax (703) 331-0254

Phone(703) 331-0300

Fax(703) 331-0254

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1989

Enumeration DateJuly 14, 2005

Last NPPES UpdateJune 20, 2013

✔ NPI 1609875434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in VA · 0101047068

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

8100 ASHTON AVE, Manassas, VA 20109

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Other Identifiers 4

Medicare UPINF82504VA

OtherG00773DC · Medicare Of Dc Ptan

Medicaid5810507VA

OtherC06380VA · Medicare Of Va Ptan

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. Balbir Sidhu 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 ID3577557263

PECOS Enrollment IDI20040414000795, I20110922000582

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 23

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

1,196 services636 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

592 services479 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.

449 services106 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

216 services215 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

213 services210 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

120 services78 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

114 services105 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

105 services102 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

89 services89 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

85 services84 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

67 services59 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

64 services56 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services59 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

48 services48 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

34 services34 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

32 services32 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

28 services28 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.

28 services21 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

27 services27 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

19 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

18 services17 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

17 services17 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490113

Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20109 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

38%182 patients2/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

1%356 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

28%366 patients2/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

1%141 patients1/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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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.

NORTH ARLINGTON FAMILY PRACTICE, PC

Family Medicine

8100 ASHTON AVE, SUITE 207
MANASSAS, VA 20109

Prince William County (703) 334-5801

SHAHRAM YAZDANI MD

Internal Medicine (Cardiovascular Disease)

8100 ASHTON AVE, SUITE 200
MANASSAS, VA 20109

Prince William County (703) 331-0300

JULIANE AUSTIN

Physician Assistant

8100 ASHTON AVE, SUITE 200
MANASSAS, VA 20109

Prince William County (877) 415-4116

LYNN NELSON P.T.

Physical Therapist

8100 ASHTON AVE, SUITE 209
MANASSAS, VA 20109

Prince William County (571) 379-5285

MOHAMED MARDINI MD

Pediatrics (Pediatric Cardiology)

8100 ASHTON AVE, SUITE 200
MANASSAS, VA 20109

Prince William County (703) 335-8750

DR. HAMID TAHERI MD

Internal Medicine (Cardiovascular Disease)

8100 ASHTON AVE, SUITE 200
MANASSAS, VA 20109

Prince William County (703) 335-8750

MS. LINDA R LEDBETTER ANP-BC

Nurse Practitioner

8100 ASHTON AVE, SUITE 200
MANASSAS, VA 20109

Prince William County (703) 331-0300

ARTHIRITIS AND OSTEOPOROSIS NORTHERN VIRGINIA INC

Specialist

8100 ASHTON AVE, SUITE 215
MANASSAS, VA 20109

Prince William County (703) 361-3255

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 Balbir Sidhu's NPI number?

The NPI number for Balbir Sidhu is 1609875434. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Balbir Sidhu located?

Balbir Sidhu practices at 8100 Ashton Ave Suite 200, Manassas, VA 20109. The listed phone number is (703) 331-0300.

What is Balbir Sidhu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Balbir Sidhu enrolled in Medicare?

Yes. Balbir Sidhu 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.

Is Balbir Sidhu affiliated with any hospitals?

According to CMS data, Balbir Sidhu is affiliated with Inova Fairfax Hospital and Sentara Northern Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Balbir Sidhu was last updated on June 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.