Individual provider Active NPI

Kristina Siddall, MD

  • Diagnostic Radiology Physician
  • North Miami, FL
National Provider Identifier
1023022399
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME127958 Issued in FL
Practice address
2310 Bayview LN
North Miami, FL 33181-2432
Phone
(302) 290-5624
NPI assigned
Jul 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA12503200 NJ
Diagnostic Radiology Physician 2085R0202X 243048 NY
Diagnostic Radiology Physician 2085R0202X C1-0008730 DE
Diagnostic Radiology Physician 2085R0202X ME127958 FL Primary

Addresses

Primary practice location

2310 Bayview LN
North Miami, FL 33181-2432

Mailing address

2310 Bayview LN
North Miami, FL 33181-2432
Phone (302) 290-5624

Other practice location 1

501 Bath Rd
Bristol, PA 19007-3190
Phone (215) 785-9200

Other practice location 2

310 Salem Woodstown Rd
Salem, NJ 08079-2064
Phone (856) 339-6054

Other identifiers 2

IdentifierTypeStateIssuer
1023022399MedicaidDE
P00640300OtherDERAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, FL, NJ4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070920000659 NY Practitioner - Diagnostic Radiology 7911091947 Reassigns benefits to 1 organization
I20140507001479 PA Practitioner - Diagnostic Radiology 7911091947 Reassigns benefits to 1 organization
I20170418000551 FL Practitioner - Diagnostic Radiology 7911091947 Reassigns benefits to 10 organizations
I20250326002612 NJ Practitioner - Diagnostic Radiology 7911091947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zwanger and Pesiri Radiology Group LLPGroup PAC ID 5092700799, 93 clinicians
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians
Barden Thorwarth Daughtridge LTDGroup PAC ID 6507756848, 6 clinicians
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians
BMC Specialty Physicians LLCGroup PAC ID 2466680566, 12 clinicians
Shi Specialists LLCGroup PAC ID 7911449558, 48 clinicians

Practice addresses (Care Compare)

150 Sunrise Hwy
Suite E
Lindenhurst, NY 11757-2598
Phone (631) 225-7200

155 Bridgeton Pike
Suite C
Mullica Hill, NJ 08062-2639
Phone (856) 994-0005

17125 N Bay Rd Apt
Suite 3210
Sunny Isles Beach, FL 33160-3448
Phone (631) 225-7200

2310 Bayview LN
North Miami, FL 33181-2432
Phone (302) 290-5624

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

501 Bath Rd
Bristol, PA 19007-3101

524 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 902-3000

Hospital & facility affiliations

  • Lower Bucks Hospital Hospital, Bristol, PA, CCN 390070
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069
  • Saint Michael'S Medical Center Hospital, Newark, NJ, CCN 310096

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shi Specialists LLC CurrentSince Dec 10, 2025 Accepting new patients
Ultramobile Imaging Inc CurrentSince Aug 2, 2024 Accepting new patients
Mobile Images Acquisition, LLC CurrentSince Jul 14, 2025 Accepting new patients
Barden Thorwarth Daughtridge LTD Diagnostic Radiology CurrentSince Nov 24, 2022 Accepting new patients
Vitalmd Group Holding LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Howard John Simon MD PC Diagnostic Radiology CurrentSince Apr 5, 2021 Accepting new patients
Partners Imaging Center of Sarasota LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Elite Imaging, LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Rose Radiology Centers, LLC CurrentSince Mar 1, 2019 Accepting new patients
Partners in Imaging Inc Diagnostic Radiology CurrentSince Oct 1, 2021 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Apr 5, 2021 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Mar 3, 2025 Accepting new patients
Elite Imaging LLC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Elite Imaging LLC Diagnostic Radiology Current Accepting new patients
X-Ray Associates P.a. Past Accepting new patients
Christiana Care Health Initiatives Diagnostic Radiology Past Accepting new patients
X-Ray Associates, LLC Past Accepting new patients
Christiana Care Health Initiatives Past Accepting new patients

Locations

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

15775 Laguna Canyon Rd
Ste 140
Irvine, CA 92618
Phone (949) 522-8120

24022 Calle de la Plata
Ste 100
Laguna Hills, CA 92653
Phone (949) 330-8996

14651 S Bascom Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 356-0444

1180 Post St
San Francisco, CA 94109
Phone (415) 248-3700

325 Sacramento St
San Francisco, CA 94111
Phone (408) 356-9013

4144 Redwood Hwy
Ste B
San Rafael, CA 94903
Phone (415) 479-9907

2999 NE 191st St
Ste 103
Aventura, FL 33180
Phone (305) 692-2222

1220 Oakfield Dr
Brandon, FL 33511
Phone (813) 655-1144

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

1215 Dunn Ave
Ste A
Jacksonville, FL 32218
Phone (904) 696-8400

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

7867 N Kendall Dr
Ste 120
Miami, FL 33156
Phone (305) 279-2674

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

51 W Kaley St
Orlando, FL 32806
Phone (407) 999-9925

8300 W Sunrise Blvd
Plantation, FL 33322
Phone (954) 577-6000

1250 S Tamiami Trl
Ste 103
Sarasota, FL 34239
Phone (941) 894-3332

2229 N Commerce Pkwy
Ste 150
Weston, FL 33326
Phone (954) 349-0054

6900 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-6736

134 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 478-2111

155 Bridgeton Pike
Ste C
Mullica Hill, NJ 08062
Phone (856) 223-8930

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1023022399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 BAYVIEW LN",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812432",
            "telephone_number": "302-290-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 BAYVIEW LN",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812432",
            "telephone_number": "302-290-5624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Bath Rd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "PA",
            "postal_code": "190073190",
            "country_code": "US",
            "telephone_number": "215-785-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Salem Woodstown Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792064",
            "country_code": "US",
            "telephone_number": "856-339-6054",
            "fax_number": "856-935-6714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDALL",
        "first_name": "KRISTINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA12503200",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "243048",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0008730",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME127958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023022399",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00640300",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.