Individual provider Active NPI

Magdy Kamile Sidhom, M.D.

  • Anesthesiology Physician
  • Portsmouth, VA
National Provider Identifier
1477514206
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME118562 Issued in FL
Practice address
355 Crawford St
Suite 808
Portsmouth, VA 23704-2816
Phone
(757) 399-1157
Fax
(757) 399-1158
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101040856 VA
Anesthesiology Physician 207L00000X ME118562 FL Primary

Addresses

Primary practice location

355 Crawford St
Suite 808
Portsmouth, VA 23704-2816

Mailing address

355 Crawford St
Suite 808
Portsmouth, VA 23704-2816
Phone (757) 399-1167

Other names 1

  • Dr. Magdy Kamile Sidhom Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171115000716 FL Practitioner - AnesthesiologyPractitioner - Internal Medicine 0042238081 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Florida IncGroup PAC ID 0345143152, 1,111 clinicians

Practice addresses (Care Compare)

3010 Starkey Blvd
New Port Richey, FL 34655-2175
Phone (727) 372-0600

Merit-based Incentive Payment System (MIPS)

Final score
94.8 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
83.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101040856VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Feb 28, 2021 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 21, 2017 Accepting new patients
Spartan Anesthesia Associates PA Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Feinerman Anesthesia PA Anesthesiology CurrentSince Nov 22, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology CurrentSince Aug 21, 2017 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Dec 4, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Anesthesiology Current Accepting new patients
Commonwealth Anesthesia Associates, P.C. Anesthesiology Past Accepting new patients
Vitalmd Group Holding LLC Past Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC Anesthesiology Past Accepting new patients
Anesthesia Healthcare Partners, Inc. Anesthesiology Past Accepting new patients

Locations

402 Jeffords St
Clearwater, FL 33756
Phone (423) 505-2653

700 Medical Blvd
Englewood, FL 34223
Phone (941) 473-5001

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

201 14th St SW
Largo, FL 33770
Phone (727) 588-5222

8500 SW 92nd St
Ste 204
Miami, FL 33156
Phone (305) 270-8944

3010 Starkey Blvd
New Prt Rchy, FL 34655
Phone (727) 372-0600

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

3333 Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 376-4546

600 N Cattlemen Rd
Ste 100
Sarasota, FL 34232
Phone (941) 234-0498

2821 Proctor Rd
Sarasota, FL 34231
Phone (941) 870-1872

1116 Dr Martin Luther King Jr St N
St Petersburg, FL 33705
Phone (727) 353-8146

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822

Networks

  • Freedom Health HMO Network

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1477514206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 808",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-399-1167",
            "fax_number": "757-399-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 808",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-399-1157",
            "fax_number": "757-399-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDHOM",
        "first_name": "MAGDY",
        "middle_name": "KAMILE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101040856",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME118562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGDY",
            "last_name": "SIDHOM",
            "middle_name": "KAMILE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.