Dr Kelly Vasant Sidhpura, MD in Fontana, CA

Dr Kelly Vasant Sidhpura, MD is a medicare enrolled "Pediatrics" physician in Fontana, California. Her current practice location is 9985 Sierra Ave Fl Mob22, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 427-5311.

Dr Kelly Vasant Sidhpura is licensed to practice in California (license number A125057) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841599933.

Contact Information

	Dr Kelly Vasant Sidhpura, MD
	9985 Sierra Ave Fl Mob22, Fontana, CA 92335
	(909) 427-5311
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kelly Vasant Sidhpura
Gender	Female
Speciality	Pediatrics
Location	9985 Sierra Ave Fl Mob22, Fontana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841599933
Provider Enumeration Date: 03/15/2011
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 5496978942
Enrollment ID: I20140602001136

Medical Identifiers

Medical identifiers for Dr Kelly Vasant Sidhpura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841599933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A125057 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kelly Vasant Sidhpura allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Vasant Sidhpura is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Kelly Vasant Sidhpura, MD Mattel Children's Hospital Ucla, 10833 Leconte Avenue, 12-494 Mdcc, Los Angeles, CA 90095-0001 Ph: (310) 825-6752	Dr Kelly Vasant Sidhpura, MD 9985 Sierra Ave Fl Mob22, Fontana, CA 92335 Ph: (909) 427-5311

Reviews and Comments

Pediatrics Doctors in Fontana, CA

Mr. James David Killeen Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Kaiser Permanente Fontana - Pediatrics, Fontana, CA 92335 Phone: 909-427-6960
Ramandeep Kaur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088
Leslie Sison Aquino-peralta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Connie Lew Cheng, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Miss Irene H Odom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-5451
Mrs. Emma Claire Boda, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336 Phone: 909-823-8000 Fax: 909-823-8088
Eric Mun-kong Wong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Dr Kelly Vasant Sidhpura, MD - Medicare Pediatrics in Fontana, CA