Individual provider Active NPI

Pio Sian, MD

  • Family Medicine Physician
  • Barefoot Bay, FL
National Provider Identifier
1124292065
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME31652 Issued in FL
Practice address
947 Barefoot Blvd
Barefoot Bay, FL 32976-7101
Phone
(321) 593-6999
Fax
(321) 327-2262
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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 ME31652 FL Primary

Addresses

Primary practice location

947 Barefoot Blvd
Barefoot Bay, FL 32976-7101

Mailing address

947 Barefoot Blvd
Barefoot Bay, FL 32976-7101
Phone (321) 593-6999

Other identifiers 1

IdentifierTypeStateIssuer
019879900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040913000246 FL Practitioner - Family Practice 9931176757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shaw Medical Group LLCGroup PAC ID 7719262773, 4 clinicians

Practice addresses (Care Compare)

947 Barefoot Blvd
Barefoot Bay, FL 32976-7101
Phone (321) 593-6999

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1124292065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 BAREFOOT BLVD",
            "city": "BAREFOOT BAY",
            "state": "FL",
            "postal_code": "329767101",
            "telephone_number": "321-593-6999",
            "fax_number": "321-327-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 BAREFOOT BLVD",
            "city": "BAREFOOT BAY",
            "state": "FL",
            "postal_code": "329767101",
            "telephone_number": "321-593-6999",
            "fax_number": "321-327-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAN",
        "first_name": "PIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME31652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019879900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barefoot Bay, FL

Sources for this page

Verify at the official NPI Registry.