Active NPI
Todd A Sidel, M.D.
- Anesthesiology Physician
- Leo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01056588
- Practice address
- 4728 Vandolah Rd
Leo, IN 46765-9776 - Phone
- (260) 241-4501
- Fax
- (260) 637-7873
- NPI assigned
- Nov 23, 2005
- Last updated
- Jul 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01056588 | IN | Primary |
Addresses
Primary practice location
4728 Vandolah Rd
Leo, IN 46765-9776
Mailing address
4728 Vandolah Rd
Leo, IN 46765-9776
Phone (260) 241-4501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200438980 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1260 E State Rd
Suite 205
Columbia City, IN 46725-9492
Phone (260) 248-9301
1721 Magnavox Way
Fort Wayne, IN 46804-1537
Phone (260) 748-3650
207 N Townline Rd
Lagrange, IN 46761-1325
Phone (260) 463-9000
401 N Sawyer Rd
Kendallville, IN 46755-2568
Phone (260) 347-8140
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056588 | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Racc Medical Associates LLC | Current | Accepting new patients | |
| Racc Medical Associates LLC | Current | Accepting new patients | |
| Clinical Colleagues LLC | Anesthesiology | Current | Accepting new patients |
Locations
1314 E 7th St
Ste 201
Auburn, IN 46706
Phone (260) 927-0400
1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000
1721 Magnavox Way
Fort Wayne, IN 46804
Phone (260) 250-0001
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.
-
dba Summit Pain Management
- Physical Medicine & Rehabilitation Physician
- Fort Wayne, IN
- NPI 1184976136
-
dba Summit Pain Management
- Durable Medical Equipment & Medical Supplies
- Warsaw, IN
- NPI 1912666744
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Noble Hospital
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753574400000",
"number": "1467435305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4728 VANDOLAH RD",
"city": "LEO",
"state": "IN",
"postal_code": "467659776",
"telephone_number": "260-241-4501",
"fax_number": "260-637-7873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4728 VANDOLAH RD",
"city": "LEO",
"state": "IN",
"postal_code": "467659776",
"telephone_number": "260-241-4501",
"fax_number": "260-637-7873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDEL",
"first_name": "TODD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2025-07-27",
"certification_date": "2025-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01056588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200438980",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.