Kimberly Sieli, M.D.
Individual provider Active NPI Pediatrics Physician · Cottleville, MO
NPI 1104987544 · NPPES record last updated Jul 11, 2017
Key facts
- NPI
- 1104987544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 101133 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20170606003017 | MO | Order and Referring Only - Pediatric Medicine |
8123395597 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Pediatrics | Past | Accepting new patients |
| Mercy Hospitals East Communities | Past | Accepting new patients |
Interoperability endpoints
- ksieli7135@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 101133 | MO | Yes |
Addresses
Primary practice location
4525 Mid Rivers Mall Dr Ste 20
Cottleville, MO 63376-2820
Mailing address
4525 Mid Rivers Mall Drive
Suite20
Cottleville, MO 63376
Phone (636) 441-5437
Other names
- Kimberly McCowen
Other providers in Cottleville, MO
- Joseph Kenneth Reid
- David Sanford II
- Joshua Daniel Schnurbusch
- Katherine M. Shiue
- Mariela Showalter
- Susan K. Sneed-Horace
- Jennifer Southward
- St Charles County Dermatologic Surgery, LLC
- Scott Thornhill
- Tross Elite Golf Performance and Wellness LLC
All providers in Cottleville, MO · Pediatrics 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 Jul 11, 2017. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.