SHAWN SIDHARTHAN (MD) – Neurology Physician, NPI 1356617997
Neurology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,188 NEUROLOGY in IL
Provider Addresses for SHAWN SIDHARTHAN (MD)
1450 WASHINGTON ST
HOBOKEN, NJ 070309403
Phone: (956) 739-2742
Type: Mailing
1775 DEMPSTER ST
PARK RIDGE, IL 600681143
Phone: (956) 739-2742
Type: Location
1976 Crotona Pkwy Ste 3A
Bronx, NY 104601526
Phone: (718) 645-2829
Type: Location
1775 Dempster St
Park Ridge, IL 600681143
Phone: (956) 739-2742
Type: Location
90 MATAWAN RD STE 302
MATAWAN, NJ 077472653
Phone: (732) 441-7177
Fax: (732) 441-7165
Type: Mailing
596 ANDERSON AVE STE 216
CLIFFSIDE PARK, NJ 070101856
Phone: (201) 772-2329
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $4,012.
Total Amount is formed as General ($4,012) + Research ($0) + Ownership ($0) = $4,012.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Medtronic, Inc. ($2,559).
Total Amount
$4,012
General + Research + Ownership
Payments
41
Total payment records
General Amount
$4,012
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,559 |
| Saluda Medical Americas, Inc. | $394 |
| Abbott Laboratories | $362 |
| Curonix LLC | $180 |
| SCILEX PHARMACEUTICALS INC. | $152 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-01-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240813000678 | I | Neurology | NY | TBD |
| I20260122000730 | I | Neurology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | NY | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | NY |
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