Individual provider Active NPI

Christopher J Siodlarz, DO

  • Physical Medicine & Rehabilitation Physician
  • Clarksville, TN
National Provider Identifier
1467461889
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3893 Issued in TN
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q070891MedicaidTN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220217000260 TN Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4183520687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 9, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Oct 9, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.