RANJIT SINGH SIDHU MD
NPI 1811575335
General Practice in Las Vegas, NV

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since March 29, 2021PECOS Enrolled

2880 N TENAYA WAY FL 2, LAS VEGAS, NV 89128(702) 962-5000 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 24, 2024, Nov 3, 2022, Oct 27, 2022 and 1 more (4 updates tracked since 2021).

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About Ranjit Singh Sidhu Md NPPES

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

RANJIT SINGH SIDHU MD (NPI 1811575335) is an individual general practice provider in Las Vegas, Nevada, licensed in California (A182685) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in North Las Vegas, and is a graduate of Tulane University School Of Medicine (2021).

NPPES Registry Identity

NPI1811575335

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameRANJIT SINGH SIDHUCredential: MD

Location Address2880 N TENAYA WAY FL 2Las Vegas, NV 89128-0618

Mailing Address2880 N Tenaya Way Fl 2Las Vegas, NV 89128-0618

Phone(702) 962-5000

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 2021

Enumeration DateMarch 29, 2021

Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1811575335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A182685

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedSurgeryTaxonomy 208600000X · License A182685 (CA)

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

2880 N TENAYA WAY FL 2, Las Vegas, NV 89128

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Secondary Practice Location 1

Location 16900 N Pecos RdNorth Las Vegas, NV 89086-4400 · Phone (702) 791-9000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ranjit Singh Sidhu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486029774

PECOS Enrollment IDI20251226002297

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.

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.

NICHOLAS JAMES MASON

Student in an Organized Health Care Education/Training Program