Richard J Sidd, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

84260 Issued in NM

Practice address

207 N Union Ave Ste C
Roswell, NM 88201-3068

Phone

(575) 622-7295

Fax

(575) 622-7295

NPI assigned

Dec 14, 2006

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eye Associates of New Mexico LTD

  dba Eye Associates of New Mexico

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1104868520
  Medicare reassignment
• John C. Henry, M.D., P.a.

  • Dermatology Physician
  • Roswell, NM
  • NPI 1881845170
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1205998788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N UNION",
            "address_2": "SUITE C",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013068",
            "telephone_number": "505-622-7295",
            "fax_number": "505-622-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N UNION AVE STE C",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013068",
            "telephone_number": "575-622-7295",
            "fax_number": "575-622-7295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1606 SE Main St",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "NM",
            "postal_code": "882035411",
            "country_code": "US",
            "telephone_number": "575-624-0370",
            "fax_number": "575-624-0376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDD",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "84260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "NM84260",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00032805",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Renee Shields, , B.A.
• Shiloh Birth LLC
• Faith Shoemaker
• Siavash Karimian MD of New Mexico PC Dba Roswell Medico (Roswell MediCo)
• Sib Wellness Solutions LLC
• Monique Breannah Sigala
• Czarino Paragas Silao, P.T.
• Sandra Corina Silvas
• Victor Silvas
• Silver Belles

• Ophthalmology Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Ophthalmology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.