Individual provider Active NPI

Matthew Sica, D.C.

  • Chiropractor
  • Davie, FL
National Provider Identifier
1083692537
Registry record updated May 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8624 Issued in FL
Practice address
5149 S University Dr
Davie, FL 33328-4507
Phone
(954) 434-7246
Fax
(954) 434-8104
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8624 FL Primary

Addresses

Primary practice location

5149 S University Dr
Davie, FL 33328-4507

Mailing address

1912 N 45TH Ave
Hollywood, FL 33021-4106
Phone (954) 434-7246

Other identifiers 1

IdentifierTypeStateIssuer
016939900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701000912 FL Practitioner - Chiropractic 8628054772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

5149 S University Dr
Davie, FL 33328-4507
Phone (954) 900-8857

Merit-based Incentive Payment System (MIPS)

Final score
29.16 of 100Reported as group
Quality
0
Promoting interoperability
59
Improvement activities
0
Cost
48.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royal Palm Beach Rehab, Corp Chiropractor Current Accepting new patients
Royal Palm Beach Rehab, Corp Chiropractor CurrentSince Feb 3, 2010 Accepting new patients
Royal Palm Beach Rehab, Corp. Chiropractor CurrentSince Feb 3, 2010 Accepting new patients
Bacus Chiropractic, Inc. Chiropractor Past Accepting new patients
Palm-Aire Medical & Rehab Center, Inc. Chiropractor Past Accepting new patients
Care Health and Wellness Center Chiropractor PastSince Feb 15, 2004 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

4691 S University Dr
Davie, FL 33328
Phone (954) 434-7246

5149 S University Dr
Davie, FL 33328
Phone (954) 434-7246

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: drsica@achcsi-fl.direct.office.nextgen.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588377600000",
    "number": "1083692537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 N 45TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330214106",
            "telephone_number": "954-434-7246",
            "fax_number": "954-344-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333284507",
            "telephone_number": "954-434-7246",
            "fax_number": "954-434-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICA",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016939900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.