DR. ABHINAV SIDANA M.B.B.S
NPI 1679899470
Urology in Cincinnati, OH

Q: What is Abhinav Sidana's NPI number?

The NPI number for Abhinav Sidana is 1679899470. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Q: What is Abhinav Sidana's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Abhinav Sidana was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 19, 2010PECOS EnrolledAccepts Medicare Assignment

97.71/100

CMS Quality Rating

222 PIEDMONT AVE, CINCINNATI, OH 45219(513) 475-8787(513) 475-8828 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2018, Jun 9, 2017, Nov 10, 2015 (3 updates tracked since 2015).

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About Dr. Abhinav Sidana M.b.b.s NPPES

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

DR. ABHINAV SIDANA M.B.B.S (NPI 1679899470) is an individual urology provider in Cincinnati, Ohio, licensed in Ohio (35131272) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1679899470

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. ABHINAV SIDANACredential: M.B.B.S

Location Address222 PIEDMONT AVECincinnati, OH 45219-4231

Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5506 · Fax (513) 585-5511

Phone(513) 475-8787

Fax(513) 475-8828

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateApril 19, 2010

Last NPPES UpdateMarch 14, 20183 updates tracked since enumeration

✔ NPI 1679899470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in OH · 35131272✔ Licensed in MD · D0079729

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

222 PIEDMONT AVE, Cincinnati, OH 45219

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance.Insurance ›

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. Abhinav Sidana M.b.b.s 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 ID4486884525

PECOS Enrollment IDI20231031001682

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 15

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.

73 services58 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.

59 services59 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

50 services50 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

48 services48 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

44 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

28 services27 patients

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

23 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

19 services18 patients

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

16 services15 patients

High-intensity ultrasound destruction of cancerous tissue in prostate gland, accessed through rectum using ultrasound guidance 55880

This is a non-invasive procedure where high-intensity sound waves are directed to the affected area in the lower body to destroy unhealthy tissue. It's done via a probe inserted through a natural body opening, using sound wave images for precision.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Injection of biodegradable material next to prostate 55874

This procedure involves the introduction of a biodegradable substance near a gland located in the lower abdomen. This substance helps to create a barrier between the gland and nearby tissues, aiding in the precise delivery of treatment to the intended area.

13 services13 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.

13 services13 patients

Destruction of prostate using imaging guidance 55873

This is a non-invasive procedure where doctors use images to accurately target and treat problematic areas in the prostate. It's done with precision to minimize impact on surrounding healthy tissue. The aim is to alleviate symptoms and improve quality of life.

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140088

Location5841 South MarylandChicago, IL 60637 · Cook County

Emergency services Birthing friendly

Adventist Hinsdale Hospital

Acute Care Hospitals · Hinsdale, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140122

Location120 North Oak StHinsdale, IL 60521 · Du Page County

Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL

2/5 CMS rating

OwnershipPhysician

CMS Certification Number140191

Location1 Ingalls DriveHarvey, IL 60426 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

97.71/100

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

Scored through an Alternative Payment Model

Quality

75.43

Promoting Interoperability

100

Improvement Activities

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.

BERNICE K KLABEN PH.D.-CCC-SLP-BRS-S

Speech-Language Pathologist

222 PIEDMONT AVE
CINCINNATI, OH 45219

Hamilton County (513) 475-8400

BARBARA RUTH CUNNINGHAM RN

Allergy & Immunology (Clinical & Laboratory Immunology)

222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219

Hamilton County (513) 475-8400

MRS. CHERYL DOREEN HERRLE CNP

Nurse Practitioner (Gerontology)

222 PIEDMONT AVE
CINCINNATI, OH 45219

Hamilton County (513) 475-7400

REBECCA HARDT CNP

Nurse Practitioner (Adult Health)

222 PIEDMONT AVE
CINCINNATI, OH 45219

Hamilton County (513) 475-7505

MRS. RONDA BAUER

Licensed Practical Nurse

222 PIEDMONT AVE, SUITE 5200
CINCINNATI, OH 45219

Hamilton County (513) 475-7363

CARRIE LYNN JENNINGS CNP

Nurse Practitioner (Family)

222 PIEDMONT AVE
CINCINNATI, OH 45219

Hamilton County (513) 475-7505

ALBERTO ESPAY MD

Psychiatry & Neurology (Neurology)

222 PIEDMONT AVE, SUITE 3200
CINCINNATI, OH 45219

Hamilton County (513) 475-8730

GREGORY WAYNE ROUAN M.D.

Internal Medicine

222 PIEDMONT AVE, STE 6000
CINCINNATI, OH 45219

Hamilton County (513) 475-7880

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 Abhinav Sidana's NPI number?

The NPI number for Abhinav Sidana is 1679899470. It was assigned to this individual provider in the NPPES registry on April 19, 2010.

Where is Abhinav Sidana located?

Abhinav Sidana practices at 222 Piedmont Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8787.

What is Abhinav Sidana's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Abhinav Sidana enrolled in Medicare?

Yes. Abhinav Sidana 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.

What insurance does Abhinav Sidana accept?

Health plans from CareSource, MedMutual and Oscar Health Insurance list Abhinav Sidana as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Abhinav Sidana affiliated with any hospitals?

According to CMS data, Abhinav Sidana is affiliated with The University Of Chicago Medical Center, Adventist Hinsdale Hospital and Ingalls Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Abhinav Sidana was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.