Individual provider Active NPI

Jonas Vytas Sidrys, M.D.

  • Radiation Oncology Physician
  • Cookeville, TN
National Provider Identifier
1124068275
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
39315 Issued in TN
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3806863MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN, SD, MN, WY5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20041008001426 IL Practitioner - Radiation Oncology 1557320959 Reassigns benefits to 4 organizations
I20061222000107 TN Practitioner - Radiation Oncology 1557320959 Reassigns benefits to 3 organizations
I20210105000483 SD Practitioner - Radiation Oncology 1557320959 Reassigns benefits to 1 organization
I20220308002517 MN Practitioner - Radiation Oncology 1557320959 Reassigns benefits to 1 organization
I20250305004165 WY Practitioner - Radiation Oncology 1557320959 Reassigns benefits to 2 organizations

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
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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

LicenseStateTypeSpecialty
39315TNMDRadiation Oncology Physician
14416CWYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Sep 15, 2021 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Dec 20, 2022 Accepting new patients
Osf Healthcare System CurrentSince Sep 15, 2021 Accepting new patients
Osf Healthcare System Current Accepting new patients
Bloomington Medical Laboratory Physicians, S.C. Current Accepting new patients
West Park Hospital District CurrentSince Mar 1, 2025 Accepting new patients
Cookeville Regional Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Cody Regional Health EMS CurrentSince Mar 1, 2025 Accepting new patients
Range Regional Health Services CurrentSince Mar 1, 2022 Accepting new patients
Avera St Marys CurrentSince Dec 1, 2021 Accepting new patients
Tennessee Oncology PLLC CurrentSince Dec 1, 2020 Accepting new patients
St Joseph Medical Center CurrentSince Dec 20, 2022 Accepting new patients
Range Regional Health Services CurrentSince Mar 1, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Avera St Marys Current Accepting new patients
Upper Cumberland Oncology Radiation Oncology CurrentSince Nov 1, 2006 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Dec 20, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Apr 1, 2023 Accepting new patients
West Park Hospital District CurrentSince Mar 1, 2025 Accepting new patients
Avera St Marys CurrentSince Dec 1, 2021 Accepting new patients
Cookeville Regional Medical Center CurrentSince Dec 1, 2024 Accepting new patients
Range Regional Health Services Current Accepting new patients
Tennessee Oncology,PLLC Radiation Oncology CurrentSince Dec 1, 2020 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 PastSince Dec 10, 1998 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

  • FHIR API: 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.

View all 39

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.