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DR. RAJVINDER SIDHU M.D
NPI 1699186908
Internal Medicine - Gastroenterology in Marshall, MI

Active since May 09, 2014PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
215 E MANSION ST STE 3A, MARSHALL, MI 49068(269) 789-0025 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rajvinder Sidhu M.d NPPES

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

DR. RAJVINDER SIDHU M.D (NPI 1699186908) is an individual gastroenterology provider in Marshall, Michigan, licensed in Michigan (4301501609) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699186908
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAJVINDER SIDHUCredential: M.D
Location Address215 E MANSION ST STE 3AMarshall, MI 49068-1559
Mailing Address215 E Mansion St Ste 3aMarshall, MI 49068-1559
Phone(269) 789-0025
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 9, 2014
Last NPPES UpdateJuly 23, 2020
NPPES CertifiedJuly 23, 2020
✔ NPI 1699186908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MI · 4301501609
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

215 E MANSION ST STE 3A, Marshall, MI 49068
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Rajvinder 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 ID8921343815
PECOS Enrollment IDI20220416000020
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 8

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.
141 services95 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
88 services88 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.
84 services84 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
75 services71 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.
61 services47 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450853
Location5601 Warren ParkwayFrisco, TX 75034 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49068 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. HOLLY MARIE WEAVER A-GNP-C
Nurse Practitioner
215 E MANSION ST STE 3A
MARSHALL, MI 49068
Calhoun County (269) 789-0025
MRS. AMY C BALL P.A.-C
Physician Assistant (Medical)
215 E MANSION ST STE 3A
MARSHALL, MI 49068
Calhoun County (269) 789-0025

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 Rajvinder Sidhu's NPI number?

The NPI number for Rajvinder Sidhu is 1699186908. It was assigned to this individual provider in the NPPES registry on May 9, 2014.

Where is Rajvinder Sidhu located?

Rajvinder Sidhu practices at 215 E Mansion St Ste 3A, Marshall, MI 49068. The listed phone number is (269) 789-0025.

What is Rajvinder Sidhu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rajvinder Sidhu enrolled in Medicare?

Yes. Rajvinder 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.

What insurance does Rajvinder Sidhu accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Rajvinder Sidhu 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 Rajvinder Sidhu affiliated with any hospitals?

According to CMS data, Rajvinder Sidhu is affiliated with Texas Health Presbyterian Hospital Plano and Baylor Scott & White Medical Center - Frisco.

When was this NPI record last updated?

The NPPES record for Rajvinder Sidhu was last updated on July 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.