Active NPI
Jonas Vytas Sidrys, M.D.
- Radiation Oncology Physician
- Cookeville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 39315
- Practice address
- 1 Medical Center Blvd
Cookeville, TN 38501-4294 - Phone
- (931) 783-2497
- Fax
- (931) 783-5757
- NPI assigned
- Jun 7, 2006
- Last updated
- May 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 14416C | WY | |
| Radiation Oncology Physician | 2085R0001X | 39315 | TN | Primary |
Addresses
Primary practice location
1 Medical Center Blvd
Cookeville, TN 38501-4294
Mailing address
PO Box 827
Cookeville, TN 38503-0827
Phone (931) 783-2497
Other practice location 1
1025 9th St
Cody, WY 82414-3441
Phone (307) 578-2800
Other practice location 2
707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3806863 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, TN, SD, MN, WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 783-2497
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39315 | TN | MD | Radiation Oncology Physician |
| 14416C | WY | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Current | Accepting new patients | |
| Ottawa Regional Hospital & Healthcare Center | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Bloomington Medical Laboratory Physicians, S.C. | Current | Accepting new patients | |
| West Park Hospital District | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Cody Regional Health EMS | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Tennessee Oncology PLLC | Current | Accepting new patients | |
| St Joseph Medical Center | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Upper Cumberland Oncology | Radiation Oncology | Current | Accepting new patients |
| Ottawa Regional Hospital & Healthcare Center | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| West Park Hospital District | Current | Accepting new patients | |
| Avera St Marys | Current | Accepting new patients | |
| Cookeville Regional Medical Center | Current | Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Tennessee Oncology,PLLC | Radiation Oncology | Current | Accepting new patients |
| St Joseph Medical Center | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Past | Accepting new patients | |
| Avera St Marys | Past | Accepting new patients | |
| Radiation Oncology Consultants, LTD | Radiation Oncology | Past | Accepting new patients |
| Cardinal Medical Group, LTD. | Past | Accepting new patients | |
| Edward Hospital | Past | Accepting new patients | |
| Saint Francis Medical Center | Past | Accepting new patients | |
| Salwa F Asaad | Radiation Oncology | Past | Accepting new patients |
| Upper Cumberland Oncology | Past | Accepting new patients | |
| Cookeville Regional Medical Center | Past | Accepting new patients | |
| Ottawa Regional Hospital & Healthcare Center | Past | Accepting new patients | |
| Saint Francis Medical Center | Past | Accepting new patients | |
| Adventist Midwest Health | Past | Accepting new patients | |
| Osf Healthcare System | Past | Accepting new patients | |
| St Joseph Medical Center | Past | Accepting new patients | |
| Avera Queen of Peace | Past | Accepting new patients |
Locations
2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111
2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
1200 Starfire Dr
Ottawa, IL 61350
Phone (815) 434-9999
1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334
3901 Central Pike
Ste 153
Hermitage, TN 37076
Phone (615) 391-7320
3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426
2410 Patterson St
Bsmt
Nashville, TN 37203
Phone (615) 342-4850
300 Stonecrest Blvd
Ste 155
Smyrna, TN 37167
Phone (615) 768-2855
424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903
1025 9th St
Unit B
Cody, WY 82414
Phone (307) 587-5622
1025 9th St
Cody, WY 82414
Phone (307) 578-2955
707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561
Interoperability endpoints
- https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
Organizations & group practices 39
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.
-
dba Cookeville Regional Physicians
- Hospitalist Physician
- Cookeville, TN
- NPI 1023397031
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Hematology & Oncology Physician
- Nashville, TN
- NPI 1811955917
-
- Radiation Oncology Physician
- Cookeville, TN
- NPI 1346261245
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Ottawa, IL
- NPI 1306971080
-
- Clinic/Center
- Hibbing, MN
- NPI 1669569265
-
dba OSFMG - Bloomington
- Family Medicine Physician
- Bloomington, IL
- NPI 1871547414
-
dba Cody Regional Health
- Critical Access Hospital
- Cody, WY
- NPI 1558351536
-
dba Cookeville Regional Medical Center Inpatient Rehabilitation Center
- Rehabilitation Hospital Unit
- Cookeville, TN
- NPI 1639293483
-
- Radiation Oncology Physician
- Nashville, TN
- NPI 1164595070
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
dba Cody Regional Health
- Critical Access Hospital
- Cody, WY
- NPI 1558351536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1124068275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 827",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385030827",
"telephone_number": "931-783-2497",
"fax_number": "931-783-5757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014294",
"telephone_number": "931-783-2497",
"fax_number": "931-783-5757"
}
],
"practiceLocations": [
{
"address_1": "1025 9th St",
"address_purpose": "LOCATION",
"city": "Cody",
"state": "WY",
"postal_code": "824143441",
"country_code": "US",
"telephone_number": "307-578-2800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 Sheridan Ave",
"address_purpose": "LOCATION",
"city": "Cody",
"state": "WY",
"postal_code": "824143409",
"country_code": "US",
"telephone_number": "307-527-7501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDRYS",
"first_name": "JONAS",
"middle_name": "VYTAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WY",
"license": "14416C",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "39315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3806863",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.