DR. KANWALDEEP S SIDHU MD
NPI 1770545956
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Saint Clair Shores, MI

Active since April 04, 2006PECOS EnrolledAccepts Medicare Assignment
79.54/100
CMS Quality Rating
23829 LITTLE MACK AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080(586) 773-1300(586) 773-1600 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kanwaldeep S Sidhu Md NPPES

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

DR. KANWALDEEP S SIDHU MD (NPI 1770545956) is an individual orthopaedic surgery of the spine provider in Saint Clair Shores, Michigan, licensed in Michigan (KS054699) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Wayne State University School Of Medicine (1989).

NPPES Registry Identity

NPI1770545956
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. KANWALDEEP S SIDHUCredential: MD
Location Address23829 LITTLE MACK AVE, SUITE 100Saint Clair Shores, MI 48080-1186
Mailing Address23829 Little Mack Ave, Suite 100Saint Clair Shores, MI 48080-1186 · (586) 773-1300 · Fax (586) 773-1600
Fax(586) 773-1600
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1989
Enumeration DateApril 4, 2006
Last NPPES UpdateNovember 27, 2012
NPI 1770545956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in MI · KS054699
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

23829 LITTLE MACK AVE, Saint Clair Shores, MI 48080

Other Identifiers 5

Medicare ID-Type Unspecified0H26204005MI
OtherC4763MI · Mcare
Other0826968MI · Blue Cross Blue Shield
Medicaid3164740MI
Medicare UPINF10119MI

Accepted 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. Kanwaldeep S Sidhu Md 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 ID3274504824
PECOS Enrollment IDI20050924000064
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 26

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
1,740 services18 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
659 services135 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.
640 services432 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
391 services288 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
166 services123 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
142 services141 patients

Hospital Affiliations CMS Care Compare 5

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

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.

79.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.64
Improvement Activities40
Cost52.62

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
2 suppliers12 claims12 services$3,741.38 avg. paid by Medicare
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642
DME-Orthotic Devices · category DF007N
4 suppliers50 claims50 services$199.71 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
2 suppliers15 claims15 services$541.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery (Foot and Ankle Surgery)
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Nurse Practitioner
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Occupational Therapist (Hand)
23829 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Orthopaedic Surgery
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Durable Medical Equipment & Medical Supplies
23829 LITTLE MACK AVE, SUITE 400
SAINT CLAIR SHORES, MI 48080
Physical Therapist
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Orthopaedic Surgery (Sports Medicine)
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Prosthetic/Orthotic Supplier
23829 LITTLE MACK AVE, SUITE 400
SAINT CLAIR SHORES, MI 48080

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 Kanwaldeep Sidhu's NPI number?

The NPI number for Kanwaldeep Sidhu is 1770545956. It was assigned to this individual provider in the NPPES registry on April 4, 2006.

Where is Kanwaldeep Sidhu located?

Kanwaldeep Sidhu practices at 23829 Little Mack Ave Suite 100, Saint Clair Shores, MI 48080. The listed phone number is (586) 773-1300.

What is Kanwaldeep Sidhu's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Kanwaldeep Sidhu enrolled in Medicare?

Yes. Kanwaldeep 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 Kanwaldeep Sidhu accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Kanwaldeep 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 Kanwaldeep Sidhu affiliated with any hospitals?

According to CMS data, Kanwaldeep Sidhu is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital, Beaumont Hospital - Grosse Pointe, Ascension St John Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Kanwaldeep Sidhu was last updated on November 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.