GURWINDER K SIDHU MEDICAL SERVICES PC
NPI 1629803507
Internal Medicine in Brookhaven, NY

Active since September 03, 2024
110 BEAVER DAM RD, BROOKHAVEN, NY 11719(631) 286-8100 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gurwinder K Sidhu Medical Services Pc NPPES

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

GURWINDER K SIDHU MEDICAL SERVICES PC (NPI 1629803507) is a healthcare organization registered as an internal medicine in Brookhaven, New York and active in the NPI registry since September 2024. The organization maintains a secondary practice location in Medford and lists Gurwinder Sidhu, Physician, as its authorized official.

NPPES Registry Identity

NPI1629803507
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGURWINDER K SIDHU MEDICAL SERVICES PC
Location Address110 BEAVER DAM RDBrookhaven, NY 11719-9719
Mailing Address2 Fox RunSaint James, NY 11780-3521 · (516) 395-9793
Organization SubpartNo
Authorized OfficialGurwinder SidhuPhysician · (516) 589-4496
Enumeration DateSeptember 3, 2024
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1629803507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
110 BEAVER DAM RD, Brookhaven, NY 11719

Secondary Practice Location 1

Location 13115 Horseblock RdMedford, NY 11763-2526 · Phone (631) 730-3000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gurwinder K Sidhu Medical Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Gurwinder K Sidhu Medical Services PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Internal Medicine
NPI 1588126999
110 BEAVER DAM RD
Brookhaven, NY 11719
(516) 589-4496
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194100537
101 HOSPITAL ROAD BROOK HAVEN HOSPITAL MEDICAL CENTER
Patchogue, NY 11772
(631) 654-7214
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1841518834
1745 UNION BLVD
Bay Shore, NY 11706
(631) 323-4355
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1265148167
1087 ROUTE 58 # 1034
Riverhead, NY 11901
(631) 741-4094
✔ PECOS✔ Accepts Medicare19 mi

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

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 Gurwinder K Sidhu Medical Services PC's NPI number?

The NPI number for Gurwinder K Sidhu Medical Services PC is 1629803507. It was assigned to this organization in the NPPES registry on September 3, 2024.

Where is Gurwinder K Sidhu Medical Services PC located?

Gurwinder K Sidhu Medical Services PC is located at 110 Beaver Dam Rd, Brookhaven, NY 11719. The listed phone number is (631) 286-8100.

What is Gurwinder K Sidhu Medical Services PC's specialty?

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

Is Gurwinder K Sidhu Medical Services PC enrolled in Medicare?

Yes. Gurwinder K Sidhu Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gurwinder K Sidhu Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Gurwinder K Sidhu Medical Services PC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gurwinder K Sidhu Medical Services PC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.