Active NPI
Stylianos Sideris, MD
- Urology Physician
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- M2235
- Practice address
- 2603 Michaelangelo Dr
Edinburg, TX 78539 - Phone
- (956) 362-8767
- Fax
- (956) 362-2548
- NPI assigned
- Apr 4, 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | M2235 | TX | Primary |
Addresses
Primary practice location
2603 Michaelangelo Dr
Edinburg, TX 78539
Mailing address
PO Box 3989
McAllen, TX 78502-3989
Phone (956) 854-4540
Other practice location 1
1330 E 6th St
Suite 305
Weslaco, TX 78596-4204
Phone (832) 524-5353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176914301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Baylor College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1330 E 6TH St
Suite 305
Weslaco, TX 78596-4204
2000 Health Park Dr
Brentwood, TN 37027-4692
5501 S McColl Rd
Edinburg, TX 78539-5503
9250 Amberton Pkwy
Dallas, TX 75243-3224
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Urology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1073575585
Urology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Conroe Regional Medical Center
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1174585228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3989",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785023989",
"telephone_number": "956-854-4540",
"fax_number": "956-854-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2603 MICHAELANGELO DR",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-362-8767",
"fax_number": "956-362-2548"
}
],
"practiceLocations": [
{
"address_1": "1330 E 6th St",
"address_2": "Suite 305",
"address_purpose": "LOCATION",
"city": "Weslaco",
"state": "TX",
"postal_code": "785964204",
"country_code": "US",
"telephone_number": "832-524-5353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDERIS",
"first_name": "STYLIANOS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "M2235",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176914301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.