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Active NPI 1134782402 Individual Practitioner Male Practitioner

Dr. Daniel Alfred Sidhom , DO

Urology • Indianapolis, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Sidhom, DO is a certified Urology practicing in Indianapolis, IN. With approximately 7 years of clinical experience since completing medical education in 2019, Dr. Sidhom delivers high-quality medical care to the local community at 535 BARNHILL DR STE 340.

Dr. Sidhom is affiliated with Iu Health Medical Group Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

535 Barnhill Dr Ste 340

Indianapolis, IN 462025116

Telephone 3179447451

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Indianapolis, IN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -11.5 yrs vs City Avg
City Avg: 18.5 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
63 Specialists

Practicing in Indianapolis, IN (320 Statewide)

Telehealth Adoption Rate
31.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sidhom (7 Years) 7 Yrs
Indianapolis Specialty Average (18.5 Years) 18.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-11
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IN 02007767A

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300090258 (IN)
Commercial Insurance / Payer ID Anthem Ptan
1104185019 (IN)
Commercial Insurance / Payer ID Medicare Ptan
064740080 (IN)

Hospital & Practice Group Affiliations

Iu Health Medical Group Llc

1701 N Senate Blvd, Indianapolis, IN 462021239

Phone: 8884843258

Secondary Practice Locations

4160 John R St Ste 1017

Detroit, MI 482012017

Phone: 3137454123

2401 W University Ave

Muncie, IN 473033428

Phone: 7657473111

1701 N Senate Blvd

Indianapolis, IN 462021239

Phone: 8884843258

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1174152268

Doctor of Medicine (M.D.)

NPI 1376869644

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2024

Student in an Organized Health Care Education/Training Program

📍
Updated Practice Location June 10, 2024

Registered at 535 BARNHILL DR STE 340, INDIANAPOLIS, IN 462025116 (Tel: 3179447451)

📍
Updated Business Mailing Address June 10, 2024

Registered at 535 BARNHILL DRIVE, RT 150, INDIANAPOLIS, IN 46202

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2024

Urology (License #02007767A in IN)

NPI Profile Active April 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 22, 2019

Registered at 4160 JOHN R ST STE 1017, DETROIT, MI 482012017 (Tel: 3137454123)

📍
Updated Business Mailing Address April 22, 2019

Registered at 4160 JOHN R ST STE 1017, DETROIT, MI 482012017

👤
Provider Name / Credentials Updated April 22, 2019

Recorded as DANIEL SIDHOM, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134782402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2019
Last Update: March 11, 2025
Sole Proprietor: No

Mailing Address

535 Barnhill Drive, Rt 150

Indianapolis, IN 46202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.