NPIMap

Organization Active NPI

Fernando M. Siles, MD, PLLC

  • Child & Adolescent Psychiatry Physician
  • Greenville, TX
National Provider Identifier
1225377328
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G7002 Issued in TX
Legal business name
FERNANDO M. SILES, MD, PLLC
Practice address
2405 Stonewall St
Greenville, TX 75401-3349
Phone
(903) 454-3300
NPI assigned
Feb 8, 2013
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Fernando Manuel Siles, MDNPI 1851323059
Title
Owner
Phone
(903) 454-3300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X G7002 TX Primary

Addresses

Primary practice location

2405 Stonewall St
Greenville, TX 75401-3349

Mailing address

2405 Stonewall St
Greenville, TX 75401-3349
Phone (903) 454-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130531000353 TX Part B Supplier - Clinic/Group Practice 8426296526 Receives reassigned benefits from 1 practitioner
Practice locations: Greenville, TX

National Provider Directory

National Provider Directory

Locations

2405 Stonewall St
Greenville, TX 75401
Phone (903) 454-3300

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1225377328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 STONEWALL ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754013349",
            "telephone_number": "903-454-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 STONEWALL ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754013349",
            "telephone_number": "903-454-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNANDO M. SILES, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "SILES",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-454-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "G7002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.