DR. KANWAR AJIT SINGH SIDHU (M.D.) – Psychiatry Physician, NPI 1891990735
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
710 PSYCHIATRY in WA
Provider Addresses for DR. KANWAR AJIT SINGH SIDHU (M.D.)
1117 Spring St
Friday Harbor, WA 982509782
Phone: (360) 378-1738
Type: Location
2901 Squalicum Pkwy
Bellingham, WA 982251851
Phone: (360) 788-6993
Type: Location
1250 E Marshall St
Richmond, VA 232985051
Phone: (804) 628-6777
Fax: (804) 628-6768
Type: Location
2211 Rimland Dr Ste 320
Bellingham, WA 982266014
Phone: (360) 752-5175
Type: Location
4545 Cordata Pkwy Ste 2A
Bellingham, WA 982267264
Phone: (360) 752-5220
Type: Location
4545 Cordata Pkwy Ste B
Bellingham, WA 982267263
Phone: (360) 752-5220
Type: Location
2000 Hospital Dr
Sedro Woolley, WA 982844327
Phone: (360) 856-6021
Type: Location
Richmond Drive, Middletown, New Castle County, Delaware, United States
RICHMOND, VA 232911734
Phone: (804) 358-6100
Fax: (804) 342-7619
Type: Mailing
501, North 2nd Street, Jackson Ward, Richmond, Richmond City, Virginia, 23219, United States
RICHMOND, VA 232191359
Phone: (804) 628-6777
Fax: (804) 628-6768
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2020-04-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20200407003149 | I | Psychiatry | WA | 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 98250)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | VA | 90792 | Psychiatric diagnostic evaluation with medical services | 132 | 113 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| P O D I A T R Y | WA | |
| Gynecological Oncology | WA | |
| - | FL | |
| Geriatric Medicine, Family Practice | WA | |
| Nurse Practitioner | WA | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Nuclear Medicine | MA | |
| - | TX | |
| Physician Assistant | OR | |
| Nurse Practitioner | NY |
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