Individual provider Active NPI

Jeffrey M Sicat, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Glen Allen, VA
National Provider Identifier
1407883689
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101232229 Issued in VA
Practice address
4439 Cox Rd
Glen Allen, VA 23060-3460
Phone
(804) 726-1500
Fax
(804) 726-1501
NPI assigned
Jun 26, 2006
Last updated
Dec 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101232229 VA Primary

Addresses

Primary practice location

4439 Cox Rd
Glen Allen, VA 23060-3460

Mailing address

4439 Cox Rd
Glen Allen, VA 23060-3460
Phone (804) 726-1500

Other identifiers 1

IdentifierTypeStateIssuer
0101111111MedicaidVA

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
I20150425000082 VA Order and Referring Only - EndocrinologyPractitioner - Endocrinology 2860458742

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Endocrinology and Osteoporosis Center PastSince Dec 2, 2004 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1407883689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603460",
            "telephone_number": "804-726-1500",
            "fax_number": "804-726-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603460",
            "telephone_number": "804-726-1500",
            "fax_number": "804-726-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICAT",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101232229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101111111",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.