Active NPI
Robert A Sicoli, MD
- Emergency Medicine Physician
- St Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 36714
- Practice address
- 345 North Smith Avenue
Childrens Hospitals and Clinics of Minnesota Emergency
St Paul, MN 55102 - Phone
- (651) 220-6914
- NPI assigned
- Nov 1, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36714 | MN | Primary |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 36714 | MN | |
| Pediatrics Physician | 208000000X | 36714 | MN | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 36714 | MN |
Addresses
Primary practice location
345 North Smith Avenue
Childrens Hospitals and Clinics of Minnesota Emergency
St Paul, MN 55102
Mailing address
2910 Centre Pointe Drive
Childrens Health Care 35121a
Roseville, MN 55113
Phone (651) 855-2327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 963763000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36714 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Health Care | Current | Accepting new patients | |
| Childrens Health Care | Pediatrics | Current | Accepting new patients |
| Emergency Care Consultants, PA | Emergency Medicine | Current | Accepting new patients |
| Childrens Health Care | Current | Accepting new patients | |
| Ecc Addiction & Toxicology Services LLC | Past | Accepting new patients |
Locations
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
345 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Minneapolis, MN
- NPI 1932208808
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1669422788
-
- Adolescent and Children Mental Health Clinic/Center
- St Paul, MN
- NPI 1457444507
-
- Children's Hospital
- Minneapolis, MN
- NPI 1881793750
-
- Medical Toxicology (Emergency Medicine) Physician
- Minneapolis, MN
- NPI 1629532429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1467539593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CENTRE POINTE DRIVE",
"address_2": "CHILDRENS HEALTH CARE 35121A",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-855-2327",
"fax_number": "651-855-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 NORTH SMITH AVENUE",
"address_2": "CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA EMERGENCY",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-220-6914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICOLI",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "36714",
"primary": true
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "MN",
"license": "36714",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "36714",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "MN",
"license": "36714",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "963763000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.