Individual provider Active NPI

Karen Elizabeth Sickenger, MD

  • Anesthesiology Physician
  • Virginia Beach, VA
National Provider Identifier
1376507343
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101056602 Issued in VA
Practice address
816 Independence Blvd
Ste 2G
Virginia Beach, VA 23455-6010
Phone
(757) 363-6230
Fax
(757) 363-6204
NPI assigned
Apr 14, 2006
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101056602 VA Primary
Anesthesiology Physician 207L00000X 200501351 NC

Addresses

Primary practice location

816 Independence Blvd
Ste 2G
Virginia Beach, VA 23455-6010

Mailing address

816 Independence Blvd
Ste 2G
Virginia Beach, VA 23455-6010
Phone (757) 363-6230

Other identifiers 6

IdentifierTypeStateIssuer
182810OtherNCMEDCOST CHS, NC
4874249OtherNCCIGNA CHS,NC
140PJOtherNCBCBS NC CHS, NC
806387OtherNCPARTNERS CHS, NC
5901770MedicaidNC
P00282904OtherNCRAILROAD-MEDICARE CHS,NC

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080712000128 VA Practitioner - Anesthesiology 9739080409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Eastern Virginia Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

1975 Glenn Mitchell Dr
Suite 300
Virginia Beach, VA 23456-0167
Phone (757) 507-0170

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200501351NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMG Anesthesia Specialists LLC Anesthesiology CurrentSince Mar 1, 2013 Accepting new patients
Riverside Physician Services Inc Past Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC Anesthesiology Past Accepting new patients
James River Anesthesia Assoc., Inc Anesthesiology Past Accepting new patients

Locations

595 Martha Jefferson Dr
Ste 290
Charlottesville, VA 22911
Phone (434) 293-4995

1975 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 507-0170

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

816 Independence Blvd
Ste 2G
Virginia Beach, VA 23455
Phone (757) 363-6230

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1376507343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD",
            "address_2": "STE 2G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-363-6230",
            "fax_number": "757-363-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 INDEPENDENCE BLVD",
            "address_2": "STE 2G",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234556010",
            "telephone_number": "757-363-6230",
            "fax_number": "757-363-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKENGER",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101056602",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "200501351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST CHS, NC",
            "identifier": "182810",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA CHS,NC",
            "identifier": "4874249",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC CHS, NC",
            "identifier": "140PJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS CHS, NC",
            "identifier": "806387",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901770",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD-MEDICARE CHS,NC",
            "identifier": "P00282904",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.