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Individual provider Active NPI

Barton Glen Sickinger, DO FACC

  • Cardiovascular Disease Physician
  • Winter Park, FL
National Provider Identifier
1245223650
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
050005006 Issued in IL
Practice address
650 N Wymore Rd
Suite 101
Winter Park, FL 32789-2859
Phone
(407) 644-8668
Fax
(407) 644-5637
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 050005006 IL Primary

Addresses

Primary practice location

650 N Wymore Rd
Suite 101
Winter Park, FL 32789-2859

Mailing address

650 N Wymore Rd
Suite 101
Winter Park, FL 32789-2859
Phone (407) 644-8668

Other identifiers 3

IdentifierTypeStateIssuer
042383100MedicaidFL
2001321OtherAETNA
060031133OtherRR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000861 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1254514524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Chicago College of Osteopathy, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Physicians Memorial, LLCGroup PAC ID 2567622954, 13 clinicians

Practice addresses (Care Compare)

103 Memorial Medical Pkwy
Suite 200
Daytona Beach, FL 32117-5121
Phone (386) 615-1521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
94.03
Promoting interoperability
97
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
050005006ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Physicians Memorial, LLC Cardiovascular Disease CurrentSince Feb 1, 2016 Accepting new patients
Internal Medicine Group of Central Florida, P.a. Past Accepting new patients

Locations

103 Memorial Medical Pkwy
Ste 200
Daytona Beach, FL 32117
Phone (386) 615-1521

305 Memorial Medical Pkwy
Ste 301
Daytona Beach, FL 32117
Phone (386) 231-4450

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1245223650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N WYMORE RD",
            "address_2": "SUITE 101",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892859",
            "telephone_number": "407-644-8668",
            "fax_number": "407-644-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N WYMORE RD",
            "address_2": "SUITE 101",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892859",
            "telephone_number": "407-644-8668",
            "fax_number": "407-644-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKINGER",
        "first_name": "BARTON",
        "middle_name": "GLEN",
        "credential": "DO FACC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "050005006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042383100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2001321",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "060031133",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.