Dr Kusumam Sidharthan, MD - Medicare Pediatrics in Mcallen, TX

Dr Kusumam Sidharthan, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Mcallen, Texas. Her current practice location is 222 E Ridge Rd, Mcallen, Texas. You can reach out to her office (for appointments etc.) via phone at (956) 994-9100.

Dr Kusumam Sidharthan is licensed to practice in Texas (license number G9661) 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 1194787960.

Contact Information

Dr Kusumam Sidharthan, MD
222 E Ridge Rd,
Mcallen, TX 78503-1251
(956) 994-9100
(956) 994-9101

Map and Direction




Physician's Profile

Full NameDr Kusumam Sidharthan
GenderFemale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location222 E Ridge Rd, Mcallen, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194787960
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9335319946
  • Enrollment ID: I20110908001882

Medical Identifiers

Medical identifiers for Dr Kusumam Sidharthan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194787960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine G9661 (Texas)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 Kusumam Sidharthan allows following entities to bill medicare on her behalf.
Entity NamePediatrix Medical Group Of Texas Billing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649377359
PECOS PAC ID: 0042283921
Enrollment ID: O20110907001264

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 Kusumam Sidharthan 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 AddressPractice Location Address
Dr Kusumam Sidharthan, MD
916 E Burns Dr,
Mcallen, TX 78503-1407

Ph: (956) 994-9100
Dr Kusumam Sidharthan, MD
222 E Ridge Rd,
Mcallen, TX 78503-1251

Ph: (956) 994-9100

Reviews and Comments


Pediatrics Doctors in Mcallen, TX

Mr. Ruben Arnulfo Armendariz, APRN-CNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5521 N Mccoll Rd, Mcallen, TX 78504
Phone: 956-362-8420    Fax: 956-362-8448
Dr. Saeed Uz Zafer Javed, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 222 E Ridge Rd, Suit 202 C, Mcallen, TX 78503
Phone: 956-994-9100    
Kochurani Joseph, NP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 717 N Ware Rd, Mcallen, TX 78501
Phone: 956-331-6063    Fax: 956-682-4505
Dr. Nicolas E Trujillo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5000 N 23rd St, Suite K, Mcallen, TX 78504
Phone: 956-278-3777    Fax: 800-396-9360
Dr. David Michael Overfield, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 222 E Ridge Rd, Suite 202c, Mcallen, TX 78503
Phone: 956-994-9100    Fax: 956-994-9101
Dr. Marie Jose Jean-michel, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 801 E Nolana Ave Ste 13a, Mcallen, TX 78504
Phone: 956-686-2700    Fax: 956-686-2708
Maria E Hoffman-guardia, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 E Ridge Rd, Ste.#12, Mcallen, TX 78503
Phone: 956-631-5333    Fax: 956-631-8777

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.