Individual provider Active NPI

Sydney Jiang, M.D.

  • Otolaryngology Physician
  • Richmond, IN
National Provider Identifier
1396194148
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01086456A Issued in IN
Practice address
1434 Chester Blvd
Richmond, IN 47374-1947
Phone
(765) 966-1600
Fax
(765) 962-9641
NPI assigned
Jun 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35.143004 OH
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 01086456A IN Primary

Addresses

Primary practice location

1434 Chester Blvd
Richmond, IN 47374-1947

Mailing address

1100 Reid Pkwy
Richmond, IN 47374-1157
Phone (765) 966-1600

Other names 1

  • Tingshan Jiang Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjiang433785@ReidHealth.direct-ci.com Reid Physician Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210820001162 IN Practitioner - Otolaryngology 2062817513 Reassigns benefits to 1 organization
I20210825003965 OH Practitioner - Otolaryngology 2062817513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reid Physician Associates IncGroup PAC ID 6406910769, 427 clinicians

Practice addresses (Care Compare)

1100 Reid Pkwy
Richmond, IN 47374-1157

1101 Jackson St
Suite D
Greenville, OH 45331-1396
Phone (937) 316-1300

1434 Chester Blvd
Richmond, IN 47374-1947
Phone (765) 966-1600

386 Symmes Ctr Dr
Suite 1
Winchester, IN 47394-9402
Phone (765) 589-6600

Hospital & facility affiliations

  • Reid Health Hospital, Richmond, IN, CCN 150048
  • Wayne Hospital Hospital, Greenville, OH, CCN 361335

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01086456AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Physician Associates, Inc. CurrentSince Sep 7, 2021 Accepting new patients
Reid Physician Associates, Inc CurrentSince Sep 7, 2021 Accepting new patients

Locations

1434 Chester Blvd
Richmond, IN 47374
Phone (765) 966-1600

1100 Reid Pkwy
Richmond, IN 47374
Phone (765) 983-3000

550 Hallmark Dr
Eaton, OH 45320
Phone (937) 456-1195

1101 Jackson St
Ste D
Greenville, OH 45331
Phone (937) 316-1300

Interoperability endpoints

  • Direct secure messaging: sjiang433785@reidhealth.direct-ci.com

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 2

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": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1396194148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 REID PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741157",
            "telephone_number": "765-966-1600",
            "fax_number": "765-962-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741947",
            "telephone_number": "765-966-1600",
            "fax_number": "765-962-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "SYDNEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-11",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35.143004",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01086456A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjiang433785@ReidHealth.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Reid Physician Associates, Inc.",
            "address_1": "1434 Chester Blvd",
            "city": "Richmond",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473741947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TINGSHAN",
            "last_name": "JIANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.