Douglas Mitchell Sides, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

10716 Issued in NV

Practice address

688 Kinoole St
Suite 103
Hilo, HI 96720

Phone

(808) 935-1825

Fax

(903) 663-7394

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

Albert Einstein College of Medicine of Yeshiva University, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Imaging Institute Medical Group IncGroup PAC ID 1951325299, 35 clinicians

Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
• Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
• Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Merit-based Incentive Payment System (MIPS)

Final score

75.79 of 100Reported as group

Quality

66.31

Improvement activities

40

Cost

74.14

Merit-based Incentive Payment System (MIPS)

Final score

84.42 of 100Reported as group

Quality

71.24

Improvement activities

40

Cost

75.68

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• California Imaging Institute Medical Group Inc

  • Radiology Clinic/Center
  • Fresno, CA
  • NPI 1497764468
  Medicare reassignment Care Compare group NPD
• Central Valley Community Medical Imaging

  • Diagnostic Radiology Physician
  • Fresno, CA
  • NPI 1376637264
  Medicare reassignment Care Compare group NPD
• Centennial Hills Hospital Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1487771812
  NPD (past)
• Desert Springs Hospital

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1154317964
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Henderson, NV
  • NPI 1447393152
  NPD (past)
• Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT

  • Diagnostic Radiology Physician
  • Englewood, CO
  • NPI 1336188234
  NPD (past)
• Northern Virginia Radiology Consultants, PLLC

  • Diagnostic Radiology Physician
  • Arlington, VA
  • NPI 1942463625
  NPD (past)
• Physicians Medical Center Kaufman, LTD

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1952356412
  NPD (past)
• Radiological Associates of Sacramento Medical Group Inc

  • Diagnostic Radiology Physician
  • Roseville, CA
  • NPI 1487945754
  NPD (past)
• Radiology Imaging of Nebraska, LLC

  • Diagnostic Radiology Physician
  • Scottsbluff, NE
  • NPI 1184869901
  NPD (past)
• Red Rock at Maryland Parkway LLC

  • Diagnostic Radiology Physician
  • Las Vegas, NV
  • NPI 1770686271
  NPD (past)
• Sunrise Mountainview Hospital, Inc.

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1831143817
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709
  Care Compare affiliation
• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  Care Compare affiliation
• Saint Agnes Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205845567
  Care Compare affiliation

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1144228255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30077",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300077",
            "telephone_number": "702-477-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST",
            "address_2": "SUITE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-1825",
            "fax_number": "903-663-7394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "688 Kinoole St",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "96720",
            "country_code": "US",
            "telephone_number": "808-935-1825",
            "fax_number": "903-663-7394",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDES",
        "first_name": "DOUGLAS",
        "middle_name": "MITCHELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G76456",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G76456",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "10716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "905838",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "CC5535",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502411",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Shrader, L.C.S.W.
• Wallace R Shrinski
• Nancy J. Shriver, PT
• Stacia Shryock
• Renee Shutt
• Julio Silva
• Niki-Lyn Silva
• Violet Silva, RN
• Ashley Silver
• Ellen Grace Silvestre

• Diagnostic Radiology Physician in Hilo, HI
• Providers in Hilo, HI by specialty
• Diagnostic Radiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.

Verify at the official NPI Registry.