Individual provider Active NPI

Sidra Al-Sibae, PA-C

  • Surgery Physician
  • Lansdale, PA
National Provider Identifier
1295515682
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MA065079 Issued in PA
Practice address
100 Medical Campus Dr
Lansdale, PA 19446-1259
Phone
(215) 368-2100
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abington Memorial Hospital 442 clinicians

Practice addresses (Care Compare)

100 Medical Campus Dr
Lansdale, PA 19446-1259
Phone (215) 368-2100

2100 N Broad St
North Penn Surgical Associates
Lansdale, PA 19446-1052
Phone (215) 368-1122

Hospital & facility affiliations

  • Jefferson Lansdale Hospital Hospital, Lansdale, PA, CCN 390012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122001070 PA Practitioner - Physician Assistant 6901254432 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital CurrentSince Dec 1, 2024 Accepting new patients
Abington Memorial Hospital Surgery CurrentSince Nov 20, 2023 Accepting new patients
Abington Memorial Hospital CurrentSince Nov 20, 2023 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

125 Medical Campus Dr
Ste 310
Lansdale, PA 19446
Phone (215) 368-1122

100 Medical Campus Dr
Lansdale, PA 19446
Phone (215) 361-4440

2100 N Broad St
Lansdale, PA 19446
Phone (215) 368-1122

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MA065079 PA Primary

Addresses

Primary practice location

100 Medical Campus Dr
Lansdale, PA 19446-1259

Mailing address

141 Annapolis St
Bensalem, PA 19020-1266
Phone (215) 834-9676

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1295515682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ANNAPOLIS ST",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190201266",
            "telephone_number": "215-834-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CAMPUS DR",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461259",
            "telephone_number": "215-368-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-SIBAE",
        "first_name": "SIDRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MA065079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.