Individual provider Active NPI

Sidney Lee Gilbert Jr., DO

  • Hospitalist Physician
  • Cookeville, TN
National Provider Identifier
1083840532
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2559 Issued in TN
Practice address
1 Medical Center Blvd
Suite 103
Cookeville, TN 38501-4294
Phone
(931) 783-2770
Fax
(931) 525-1176
NPI assigned
Jun 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2559 TN Primary

Addresses

Primary practice location

1 Medical Center Blvd
Suite 103
Cookeville, TN 38501-4294

Mailing address

127 N Oak Ave
Suite D
Cookeville, TN 38501-2435
Phone (931) 783-5857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20140318000107 TN Practitioner - Internal Medicine 0143476408 Reassigns benefits to 4 organizations
I20220708002763 IL Practitioner - Internal Medicine 0143476408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Nova Southeastern College of Osteo Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warner Physician Services PCGroup PAC ID 0345602801, 50 clinicians

Practice addresses (Care Compare)

2000 Church St
Nashville, TN 37236-0002
Phone (615) 284-5555

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
  • Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2559TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois CurrentSince Jun 28, 2022 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jun 28, 2022 Accepting new patients
Meriter Hospital, Inc. CurrentSince Oct 4, 2023 Accepting new patients
Saint Thomas Medical Partners CurrentSince Oct 1, 2015 Accepting new patients
Warner Physician Services PC Hospitalist CurrentSince Aug 17, 2023 Accepting new patients
The Finley Hospital Past Accepting new patients
Cookeville Regional Medical Group, Inc PastSince Jul 21, 2012 Accepting new patients
Cookeville Regional Medical Center Hospitalist Past Accepting new patients

Locations

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10383/brand/1/csg/1/fhir/r4

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 3

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": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1083840532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N OAK AVE",
            "address_2": "SUITE D",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012435",
            "telephone_number": "931-783-5857",
            "fax_number": "931-526-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "SUITE 103",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014294",
            "telephone_number": "931-783-2770",
            "fax_number": "931-525-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "SIDNEY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-10",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "2559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.