DR. SUKHAMPAL SINGH SIDHU M.D.
NPI 1871851782
Internal Medicine - Endocrinology, Diabetes & Metabolism in Fresno, CA

Active since April 27, 2012PECOS Enrolled
59.88/100
CMS Quality Rating
1313 E HERNDON AVE STE 106, FRESNO, CA 93720(559) 228-6600(559) 226-3709 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Jul 8, 2024, Aug 16, 2022 and 2 more (5 updates tracked since 2017).

About Dr. Sukhampal Singh Sidhu M.d. NPPES

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

DR. SUKHAMPAL SINGH SIDHU M.D. (NPI 1871851782) is an individual endocrinology, diabetes & metabolism provider in Fresno, California, licensed in California (A167224) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1871851782
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SUKHAMPAL SINGH SIDHUCredential: M.D.
Location Address1313 E HERNDON AVE STE 106Fresno, CA 93720-3306
Mailing Address1313 E Herndon Ave Ste 106Fresno, CA 93720-3306 · (559) 228-6600 · Fax (559) 226-3709
Fax(559) 226-3709
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 27, 2012
Last NPPES UpdateJune 12, 20255 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
NPI 1871851782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CA · A167224
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1313 E HERNDON AVE STE 106, Fresno, CA 93720

Secondary Practice Location 1

Location 17202 N Millbrook Ave Ste 105Fresno, CA 93720-3341 · Phone (559) 450-4463 · Fax (559) 450-4462

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 (PECOS)

Dr. Sukhampal Singh Sidhu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830331016
PECOS Enrollment IDI20200408001543
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 21

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
502 services170 patients
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.
445 services333 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
265 services216 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
171 services160 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
151 services79 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
135 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

59.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.76
Promoting Interoperability0
Improvement Activities20
Cost70.51

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers25 claims87 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers11 claims18 services$1.13 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$14.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier27 claims27 services$67.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers348 claims348 services$185.44 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
1 supplier30 claims30 services$204.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sukhampal Sidhu's NPI number?

The NPI number for Sukhampal Sidhu is 1871851782. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Sukhampal Sidhu located?

Sukhampal Sidhu practices at 1313 E Herndon Ave Ste 106, Fresno, CA 93720. The listed phone number is (559) 228-6600.

What is Sukhampal Sidhu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sukhampal Sidhu enrolled in Medicare?

Yes. Sukhampal Sidhu is registered in the Medicare PECOS enrollment system.

What insurance does Sukhampal Sidhu accept?

Health plans from Anthem Blue Cross and Blue Shield and Imperial Insurance Companies, Inc. list Sukhampal 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.

When was this NPI record last updated?

The NPPES record for Sukhampal Sidhu was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.