Active NPI
David G. Sidebottom, M.D.
- Infectious Disease Physician
- Lowell, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 48047
- Practice address
- 275 Varnum Ave
Suite 203
Lowell, MA 01854-2109 - Phone
- (978) 934-9220
- Fax
- (978) 453-7771
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 48047 | MA | Primary |
Addresses
Primary practice location
275 Varnum Ave
Suite 203
Lowell, MA 01854-2109
Mailing address
11 Outlook Rd
Wakefield, MA 01880-1415
Other practice location 1
161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3003191 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- University of Massachusetts Medical School, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
161 Jackson St
Lowell, MA 01852-2103
Phone (978) 937-9700
365 E St
Tewksbury, MA 01876-1950
365 E St
Tewksbury, MA 01876-1998
Phone (978) 851-7321
Hospital & facility affiliations
- Lowell General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| The Commonwealth of Massachusetts | Current | Accepting new patients | |
| LGH Physician Associates, Inc | Past | Accepting new patients |
Locations
365 East St
Tewksbury, MA 01876
Phone (617) 536-2186
Organizations & group practices 4
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.
-
- Long Term Care Hospital
- Tewksbury, MA
- NPI 1871680496
-
- Federally Qualified Health Center (FQHC)
- Lowell, MA
- NPI 1952307530
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1427111574
-
- Family Medicine Physician
- Lowell, MA
- NPI 1972596146
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1174580898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 OUTLOOK RD",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018801415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 VARNUM AVE",
"address_2": "SUITE 203",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542109",
"telephone_number": "978-934-9220",
"fax_number": "978-453-7771"
}
],
"practiceLocations": [
{
"address_1": "161 Jackson St",
"address_purpose": "LOCATION",
"city": "Lowell",
"state": "MA",
"postal_code": "018522103",
"country_code": "US",
"telephone_number": "978-937-9700",
"fax_number": "978-221-6728",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDEBOTTOM",
"first_name": "DAVID",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MA",
"license": "48047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3003191",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.