Individual provider Active NPI

Marija Sidrys, NP

  • Family Nurse Practitioner
  • Centreville, AL
National Provider Identifier
1437828993
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-174053 Issued in AL
Practice address
405 Belcher St
Centreville, AL 35042-2946
Phone
(205) 277-2378
NPI assigned
Sep 8, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-174053 AL Primary

Addresses

Primary practice location

405 Belcher St
Centreville, AL 35042-2946

Mailing address

1701 1St Ave S
Birmingham, AL 35233-4001
Phone (931) 510-9570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211208002077 AL Practitioner - Nurse Practitioner 6507256484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cahaba Medical Care FoundationGroup PAC ID 1355597923, 100 clinicians

Practice addresses (Care Compare)

405 Belcher St
Centreville, AL 35042-2946
Phone (205) 926-2992

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Medical Care Foundation CurrentSince Oct 16, 2021 Accepting new patients
Cahaba Medical Care Foundation CurrentSince Oct 16, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. PastSince Sep 12, 2021 Accepting new patients

Locations

1010 1st St N
Ste 350
Alabaster, AL 35007
Phone (205) 679-6326

975 9th Ave SW
Ste 310
Bessemer, AL 35022
Phone (205) 277-2358

1240 Cotton Ave SW
Birmingham, AL 35211

1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325

200 Oslo Cir
Birmingham, AL 35211
Phone (205) 944-3944

801 Princeton Ave SW
Ste 505
Birmingham, AL 35211
Phone (205) 502-1300

873 Dennison Ave SW
Ste 102
Birmingham, AL 35211
Phone (205) 774-3309

160 4th St
Brent, AL 35034
Phone (205) 928-6045

1984 Main St
Brent, AL 35034
Phone (205) 928-3492

195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455

405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694

1925 Avenue E
Ensley, AL 35218
Phone (205) 788-5164

1301 Highland Dr
Fairfield, AL 35064

301 61st St
Fairfield, AL 35064

4614 Carnegie Ave
Fairfield, AL 35064
Phone (205) 785-1353

610 Valley Rd
Fairfield, AL 35064
Phone (205) 277-2372

7000 Grasselli Rd
Fairfield, AL 35064
Phone (205) 791-5048

715 Valley Rd
Fairfield, AL 35064
Phone (205) 791-5048

1303 Washington St
Marion, AL 36756
Phone (334) 247-1006

319 Magnolia St
West Blocton, AL 35184
Phone (205) 928-3365

828 Cahaba River Dr
West Blocton, AL 35184

28921 Highway 5
Woodstock, AL 35188
Phone (205) 938-9348

Interoperability endpoints

  • Direct secure messaging: marija.sidrys.1@11347.direct.athenahealth.com

Organizations & group practices 3

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1437828993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 1ST AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352334001",
            "telephone_number": "931-510-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BELCHER ST",
            "city": "CENTREVILLE",
            "state": "AL",
            "postal_code": "350422946",
            "telephone_number": "205-277-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDRYS",
        "first_name": "MARIJA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-174053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, AL

Sources for this page

Verify at the official NPI Registry.