Individual provider Active NPI

Michael P Siegenthaler, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Longview, TX
National Provider Identifier
1093863532
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
036842 Issued in CT
Practice address
705 E Marshall Ave
Longview, TX 75601-5573
Phone
(903) 315-2777
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X D0068474 MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036842 CT Primary
Surgery Physician 208600000X L2653 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD430302 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X L2653 TX

Addresses

Primary practice location

705 E Marshall Ave
Longview, TX 75601-5573

Mailing address

30 W McCreight Ave Ste 106
Springfield, OH 45504-1853
Phone (937) 523-9825

Other practice location 1

263 Farmington Ave
Farmington, CT 06030-8063
Phone (860) 679-3343

Other practice location 2

30 W McCreight Ave Ste 106
Springfield, OH 45504-1853
Phone (937) 523-9825

Other practice location 3

707 E Marshall Ave
Longview, TX 75601-5545
Phone (903) 315-4880

Other practice location 4

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-7610

Other practice location 5

2604 Saint Michael Dr Ste 425
Texarkana, TX 75503-2378
Phone (903) 614-5600

Other identifiers 1

IdentifierTypeStateIssuer
415096100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI, TX, SD, CT5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200803001710 OH Practitioner - Thoracic Surgery 7012918782 Reassigns benefits to 3 organizations
I20221219000799 WI Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 7012918782 Reassigns benefits to 9 organizations
I20230130000809 TX Practitioner - Thoracic Surgery 7012918782 Reassigns benefits to 1 organization
I20250103001651 SD Practitioner - Thoracic Surgery 7012918782 Reassigns benefits to 1 organization
I20260316001179 CT Practitioner - Thoracic Surgery 7012918782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians
Monument Health Rapid City Hospital IncGroup PAC ID 6002729506, 560 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

30 W McCreight Ave
Suite 106
Springfield, OH 45504-1853
Phone (937) 523-9820

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

700 E Marshall Ave
Christus Trinity Clinic
Longview, TX 75601-5580
Phone (903) 315-1488

Hospital & facility affiliations

  • Springfield Regional Medical Center Hospital, Springfield, OH, CCN 360086
  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036
  • Monument Health Rapid City Hospital Hospital, Rapid City, SD, CCN 430077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)14
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036842CTMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D0068474MDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
L2653TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2441WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flambeau Hospital Inc CurrentSince Jan 4, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 10, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 4, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 4, 2023 Accepting new patients
University of Connecticut Health Center Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 1, 2026 Accepting new patients
Mount Carmel Healthproviders Two LLC Surgery CurrentSince Jul 27, 2020 Accepting new patients
University of Connecticut Health Center CurrentSince Mar 1, 2026 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC Surgery CurrentSince Feb 26, 2023 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Dec 16, 2024 Accepting new patients
Mount Carmel Healthproviders Two LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
Memorial Hospital Inc CurrentSince Jan 4, 2023 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Surgery CurrentSince Dec 6, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 4, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 4, 2023 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Dec 16, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 4, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 4, 2023 Accepting new patients
Marshfield Clinic Inc Surgery CurrentSince Jan 4, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 10, 2023 Accepting new patients
Community Mercy Health Partners Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

85 McNaughten Rd
Ste 110
Columbus, OH 43213
Phone (614) 751-8846

730 W Market St
Ste 2K
Lima, OH 45801
Phone (419) 996-5852

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

30 W McCreight Ave
Ste 106
Springfield, OH 45504
Phone (937) 523-9820

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

707 E Marshall Ave
Longview, TX 75601
Phone (903) 315-4880

2604 Saint Michael Dr
Ste 425
Texarkana, TX 75503
Phone (903) 614-5600

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: msiegenthaler1527260@direct.bsmhealth.org

Organizations & group practices 22

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 22

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1093863532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE STE 106",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041853",
            "telephone_number": "937-523-9825",
            "fax_number": "937-523-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015573",
            "telephone_number": "903-315-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060308063",
            "country_code": "US",
            "telephone_number": "860-679-3343",
            "fax_number": "860-679-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 W McCreight Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455041853",
            "country_code": "US",
            "telephone_number": "937-523-9825",
            "fax_number": "937-523-9829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015545",
            "country_code": "US",
            "telephone_number": "903-315-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141422",
            "country_code": "US",
            "telephone_number": "301-896-7610",
            "fax_number": "301-896-7626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2604 Saint Michael Dr Ste 425",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032378",
            "country_code": "US",
            "telephone_number": "903-614-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGENTHALER",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D0068474",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CT",
            "license": "036842",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L2653",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD430302",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L2653",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415096100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.