Barry J. Sidorow, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036064550 Issued in IL

Practice address

908 N Elm St Ste 404
Hinsdale, IL 60521-3638

Phone

(630) 789-3422

NPI assigned

Jun 14, 2005

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Merit-based Incentive Payment System (MIPS)

Final score

81.64 of 100Reported as group

Quality

70.57

Promoting interoperability

100

Improvement activities

40

Cost

68.22

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: barry.sidorow.2@380.direct.athenahealth.com

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.

• Adventist Midwest Health

  • Cardiovascular Disease Physician
  • La Grange, IL
  • NPI 1821156068
  Medicare reassignment NPD
• Adventist Midwest Health

  • Family Medicine Physician
  • La Grange, IL
  • NPI 1104953280
  NPD
• Adventist Health Partners, Inc

  • Family Medicine Physician
  • Hinsdale, IL
  • NPI 1952339939
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1346245685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 404",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213638",
            "telephone_number": "630-789-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 404",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213638",
            "telephone_number": "630-789-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDOROW",
        "first_name": "BARRY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036064550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064550",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barry.sidorow.2@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "908 N Elm St Ste 404",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Cathleen Shockley, MS, LCPC
• Jason Shrouder-Henry
• Katerina Shull, PA-C
• Zakaria Sibai, MD
• Michael James Sichlau, MD
• Rob Siegel
• Sandra C Siegel, PH D
• Grant D Sievertsen, MD
• Paul B. Sigfusson, DDS
• Signature Employment Agency Inc.

• Cardiovascular Disease Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.