Active NPI
Christopher J Siodlarz, DO
- Physical Medicine & Rehabilitation Physician
- Clarksville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 3893
- Practice address
- 141 Hillcrest Dr
Clarksville, TN 37043-5088 - Phone
- (931) 548-0967
- Fax
- (931) 552-0999
- NPI assigned
- Aug 5, 2006
- Last updated
- Oct 13, 2023
- 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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 3893 | TN | Primary |
Addresses
Primary practice location
141 Hillcrest Dr
Clarksville, TN 37043-5088
Mailing address
PO Box 306556
Nashville, TN 37230-6556
Phone (865) 243-8153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q070891 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 65.3
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 77.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Tennessee Orthopaedic Alliance PA | Current | Accepting new patients | |
| Baylor College of Medicine | Past | Accepting new patients | |
| Health Texas Provider Network | Physical Medicine & Rehabilitation | Past | Accepting new patients |
| Healthtexas Provider Network-Physiatric Medicine Associates | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Locations
141 Hillcrest Dr
Clarksville, TN 37043
Phone (931) 245-8500
8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155
Interoperability endpoints
- christopher.siodlarz.p1@direct.toa.nextgenshare.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1538153937
-
dba Tennessee Orthopaedic Clinics a Division of Toa
- Orthopaedic Surgery Physician
- Sevierville, TN
- NPI 1194311548
-
- Multi-Specialty Clinic/Center
- Clarksville, TN
- NPI 1336905561
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
dba Physiatric Medicine Associates
- Physical Medicine & Rehabilitation Physician
- Frisco, TX
- NPI 1730149253
-
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
- NPI 1912902511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1467461889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306556",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306556",
"telephone_number": "865-243-8153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 HILLCREST DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435088",
"telephone_number": "931-548-0967",
"fax_number": "931-552-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIODLARZ",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "3893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q070891",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.