NPIMap

Individual provider Active NPI

Talles Barroso Pinto de Campos Sidronio, MD

  • Anesthesiology Physician
  • Lubbock, TX
National Provider Identifier
1013477496
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
U4932 Issued in TX
Practice address
602 Indiana Ave
Lubbock, TX 79415-3364
Phone
(806) 743-2891
Fax
(806) 743-2984
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X U4932 TX Primary
Anesthesiology Physician 207L00000X 75151 AZ
Anesthesiology Physician 207L00000X MD61471194 WA
Anesthesiology Physician 207L00000X ME162385 FL

Addresses

Primary practice location

602 Indiana Ave
Lubbock, TX 79415-3364

Mailing address

515 NE Boulevard
Gainesville, FL 32601-5465
Phone (248) 798-0480

Other practice location 1

1515 SW Archer Rd
Gainesville, FL 32608-1134
Phone (352) 265-0111

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-1134
Phone (352) 273-8610

Other practice location 3

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629-0047
Phone (520) 416-7100

Other practice location 4

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 985-6403

Other identifiers 2

IdentifierTypeStateIssuer
118378600MedicaidFL
2263246MedicaidWA

Other names 1

  • Talles Sidronio Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230705002332 TX Practitioner - Anesthesiology 6608104229 Reassigns benefits to 4 organizations
I20230720002896 FL Practitioner - Anesthesiology 6608104229 Reassigns benefits to 1 organization
I20241209001742 AZ Practitioner - Anesthesiology 6608104229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Clinical Practice Association IncGroup PAC ID 0345146254, 1,886 clinicians
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
Texas Tech University Health Sciences Center LubbockGroup PAC ID 4385549674, 363 clinicians
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians

Practice addresses (Care Compare)

1505 SW Archer Rd
Gainesville, FL 32608-1134

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 725-0000

4640 N Loop
Suite 289
Lubbock, TX 79416-2423
Phone (806) 761-4880

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-1842

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113
  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75151AZMDAnesthesiology Physician
ME162385FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc CurrentSince Jul 1, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Sep 1, 2025 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Jun 21, 2023 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Nov 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Current Accepting new patients
Florida Clinical Practice Association Inc Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Oct 5, 2023 Accepting new patients
Texas Tech University Health Sciences Center Lubbock Anesthesiology CurrentSince Sep 1, 2025 Accepting new patients

Locations

16260 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 416-7100

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

1515 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-0916

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584

4640 N Loop 289
Lubbock, TX 79416
Phone (806) 749-5208

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: tsidronio189105@direct.shands.ufl.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1013477496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 NE BOULEVARD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015465",
            "telephone_number": "248-798-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 INDIANA AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794153364",
            "telephone_number": "806-743-2891",
            "fax_number": "806-743-2984"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326081134",
            "country_code": "US",
            "telephone_number": "352-265-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326101134",
            "country_code": "US",
            "telephone_number": "352-273-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16260 S Rancho Sahuarita Blvd",
            "address_purpose": "LOCATION",
            "city": "Sahuarita",
            "state": "AZ",
            "postal_code": "856290047",
            "country_code": "US",
            "telephone_number": "520-416-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1717 S J St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054933",
            "country_code": "US",
            "telephone_number": "253-985-6403",
            "fax_number": "253-985-6879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDRONIO",
        "first_name": "TALLES BARROSO",
        "middle_name": "PINTO DE CAMPOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "U4932",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "75151",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD61471194",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME162385",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118378600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2263246",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALLES",
            "last_name": "SIDRONIO",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.