Active NPI
Sidra Mamsa, MD
- Neurology Physician
- Chicago, IL
National Provider Identifier
1275282972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036180117
- Practice address
- 600 S Paulina St
Chicago, IL 60612-3806 - Phone
- (312) 942-5000
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036180117 | IL | Primary |
Addresses
Primary practice location
600 S Paulina St
Chicago, IL 60612-3806
Mailing address
1725 W Harrison St Ste 1106
Chicago, IL 60612-3845
Phone (312) 563-4234
Other practice location 1
6850 Lake Nona Blvd
Orlando, FL 32827-7408
Phone (407) 266-1106
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036180117 | IL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Neurology | Past | Accepting new patients |
Interoperability endpoints
- sidra.mamsa@hca4.eclinicaldirectplus.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1275282972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST STE 1106",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123845",
"telephone_number": "312-563-4234",
"fax_number": "312-942-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S PAULINA ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123806",
"telephone_number": "312-942-5000"
}
],
"practiceLocations": [
{
"address_1": "6850 Lake Nona Blvd",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277408",
"country_code": "US",
"telephone_number": "407-266-1106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAMSA",
"first_name": "SIDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036180117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.