Individual provider Active NPI

Sidney Allen Rhea Cantrell, D.O.

  • Family Medicine Physician
  • Columbia, MO
National Provider Identifier
1104829282
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9D24 Issued in 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
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R9D24 MO Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Sidney.Cantrell@BHM.gehrimeddirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20070927000940 MO Practitioner - General PracticePractitioner - Emergency Medicine 7416975511 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine
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 LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC CurrentSince Oct 24, 2024 Accepting new patients
Barnes Health LLC CurrentSince Jul 25, 2023 Accepting new patients
Curana Health of Missouri-Kansas LLC Family Medicine CurrentSince Oct 25, 2024 Accepting new patients
Barnes Health Care Management Group LLC CurrentSince May 24, 2020 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

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

400 NW Murray Rd
Lees Summit, MO 64081
Phone (816) 347-2109

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471

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

  • Direct secure messaging: sidney.cantrell@bhm.gehrimeddirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1104829282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800",
            "fax_number": "573-234-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CORONA RD",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032582",
            "telephone_number": "573-234-1800",
            "fax_number": "573-234-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "SIDNEY",
        "middle_name": "ALLEN RHEA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R9D24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sidney.Cantrell@BHM.gehrimeddirect.com",
            "affiliation": "N",
            "address_1": "2101 CORONA RD",
            "address_2": "STE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652032582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.