Individual provider Active NPI

Tricia Blair Sias, M.D.

  • Pediatric Adolescent Medicine Physician
  • Highland Village, TX
National Provider Identifier
1063711323
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
P9734 Issued in TX
Practice address
2200 Village Pkwy
Highland Village, TX 75077-3327
Phone
(972) 317-6000
Fax
(972) 317-6011
NPI assigned
Mar 24, 2011
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X P9734 TX Primary

Addresses

Primary practice location

2200 Village Pkwy
Highland Village, TX 75077-3327

Mailing address

2200 Village Pkwy
Highland Village, TX 75077-3327
Phone (972) 317-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160928001458 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7012204456

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Pediatrics, PA Adolescent Medicine Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1063711323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 VILLAGE PKWY",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773327",
            "telephone_number": "972-317-6000",
            "fax_number": "972-317-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 VILLAGE PKWY",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773327",
            "telephone_number": "972-317-6000",
            "fax_number": "972-317-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAS",
        "first_name": "TRICIA",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "P9734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Village, TX

Sources for this page

Verify at the official NPI Registry.