Sidney Allen Rhea Cantrell, D.O.
Individual provider Active NPI Family Medicine Physician · Columbia, MO
NPI 1104829282 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1104829282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R9D24 (MO)
- Practice address
- 2101 Corona Rd
Ste 102
Columbia, MO 65203-2582 - Phone
- (573) 234-1800
- Fax
- (573) 234-1799
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Curana Health of Missouri-Kansas LLC
CH Specialty Services Mo LLC
Practice addresses (Care Compare)
400 NW Murray Rd
Lees Summit, MO 64081-1499
Phone (337) 991-9276
400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276
Hospital & facility affiliations
- Three Rivers Hospice
- St Lukes Hospital of Kansas City
- Excelsior Springs Hospital
- Riverbend Heights Health & Rehabilitation
- Aspire Senior Living Excelsior Springs
- Valley Manor and Rehabilitation Center
- Lawson Manor & Rehab
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070927000940 | MO | Practitioner - General Practice |
7416975511 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9D24 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnes Health Care Management Group LLC | Current |
Accepting new patients | |
| Barnes Health LLC | Current |
Accepting new patients | |
| Curana Health of Missouri-Kansas LLC | Family Medicine | Current |
Accepting new patients |
| CH Specialty Services Mo LLC | Current |
Accepting new patients | |
| Aspire Senior Living Excelsior Springs, LLC | Past | Accepting new patients | |
| Excelsior Spring 1 Inc | Past | Accepting new patients | |
| Riverbend Heights Health & Rehabilitation LLC | Past | Accepting new patients | |
| Lawson 1 Inc | Past | Accepting new patients |
Locations
403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515
2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800
1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930
1333 Scenic Dr
Herculaneum, MO 63048
Phone (636) 931-2995
11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104
621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300
2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161
400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200
400 NW Murray Rd
Lees Summit, MO 64081
Phone (816) 347-2109
2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894
4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471
11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066
2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803
1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312
1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522
Interoperability endpoints
- sidney.cantrell@bhm.gehrimeddirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R9D24 | MO | Yes |
Addresses
Primary practice location
2101 Corona Rd
Ste 102
Columbia, MO 65203-2582
Mailing address
2101 Corona Rd
Ste 102
Columbia, MO 65203-2582
Phone (573) 234-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45797 | Other | MO | FIRST HEALTH |
| 5824126001 | Other | MO | CIGNA |
| 300200 | Other | MO | FAMILY HEALTH PARTNERS |
| 1104829282 | Other | MO | COMMUNITY HEALTH PLAN |
| 268352 | Other | MO | COVENTRY HEALTHCARE OF KC |
| 10867027 | Other | MO | BCBSKC PROVIDER |
| 242095230 | Medicaid | MO | |
| 710918160 | Other | MO | GREAT WEST HEALTHPLANS |
| 710918160 | Other | MO | BEECH STREET |
| 710918160 | Other | MO | UNITED HEALTHCARE |
| 710918160 | Other | MO | AETNA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Sidney.Cantrell@BHM.gehrimeddirect.com |
Other providers in Columbia, MO
- Tiffany Sinks Campbell
- Tonya Campbell
- Curt Ritchey Canine
- Meghan A Canlas
- Sarah Canoy
- Chastin Cantwell
- Crystelle Wiona Canuto
- Abigail Cape
- Gregory Weldon Caplinger
- Lana Capps
All providers in Columbia, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.