Individual provider Active NPI

Peter Joseph Sikoski, DO

  • General Practice Physician
  • Bozeman, MT
National Provider Identifier
1437143153
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9947 Issued in MT
Practice address
1104 E Main St
Bozeman, MT 59715-3884
Phone
(406) 587-3788
Fax
(406) 587-3922
NPI assigned
Sep 8, 2005
Last updated
May 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9947 MT Primary

Addresses

Primary practice location

1104 E Main St
Bozeman, MT 59715-3884

Mailing address

1104 E Main St
Bozeman, MT 59715-3884
Phone (406) 587-3788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 1, 2015 through May 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9947MTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Field of Dreams PC Current Accepting new patients
Bozeman Health Urgent Care Current Accepting new patients

Locations

1006 W Main St
Bozeman, MT 59715
Phone (406) 414-4800

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, 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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1437143153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 E MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153884",
            "telephone_number": "406-587-3788",
            "fax_number": "406-587-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 E MAIN ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153884",
            "telephone_number": "406-587-3788",
            "fax_number": "406-587-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKOSKI",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MT",
            "license": "9947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.