Kimberly Sieli, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

101133 Issued in MO

Practice address

4525 Mid Rivers Mall Dr Ste 20
Cottleville, MO 63376-2820

Phone

(636) 441-5437

Fax

(636) 441-4398

NPI assigned

Dec 12, 2006

Last updated

Jul 11, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly McCowen Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ksieli7135@directc.mercy.net

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.

• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228

  Pediatrics

  NPD (past)
• Mercy Hospitals East Communities

  dba Mercy St. Louis Transport Ambulance

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1104987544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 MID RIVERS MALL DRIVE",
            "address_2": "SUITE20",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "63376",
            "telephone_number": "636-441-5437",
            "fax_number": "636-441-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 MID RIVERS MALL DR STE 20",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633762820",
            "telephone_number": "636-441-5437",
            "fax_number": "636-441-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIELI",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "101133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MCCOWEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Kenneth Reid, DMD
• David Sanford II
• Joshua Daniel Schnurbusch, RBT
• Katherine M. Shiue, M.D.
• Mariela Showalter
• Susan K. Sneed-Horace, R.N.;B.S.N.
• Jennifer Southward, CPNP
• St Charles County Dermatologic Surgery, LLC
• Scott Thornhill
• Tross Elite Golf Performance and Wellness LLC (Tross Chiropractic)

• Pediatrics Physician in Cottleville, MO
• Providers in Cottleville, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.