SIDHU PEDIATRICS, LLC – NPI #1891179768
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

SIDHU PEDIATRICS, LLC is a provider located in OLIVE BRANCH, MS. NPPES has assigned the NPI number 1891179768 to SIDHU PEDIATRICS, LLC on July 10, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Apr 06, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIDHU PEDIATRICS, LLC below.

NPI Profile for
SIDHU PEDIATRICS, LLC

NPI Number
1891179768
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SIDHU PEDIATRICS, LLC
Primary location
7145 GOODMAN ROAD
OLIVE BRANCH, MS 38654
Phone: (662) 333-5001 Fax: (662) 420-7063
Mailing address
7145 GOODMAN RD
OLIVE BRANCH, MS 38654-1904
Phone: (662) 333-5001 Fax: (662) 420-7063
Organization Subpart
No
Authorized Official
REUBEN SIDHU
ADMINISTRATOR
Phone: (662) 349-6577
Updated
Certification Date
Apr 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SIDHU PEDIATRICS, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMS07529722
medicaidMS00016777
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MS

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.