Richard M Sica, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00039320 Issued in WA

Practice address

827 E Colonial Ave Ste C
Moses Lake, WA 98837-4644

Phone

(509) 765-7462

Fax

(509) 765-7508

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Dermatology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

5 of 100Reported as individual

Quality

10

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/208356/r4

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.

• Sica Family Dermatology

  • Specialist
  • Moses Lake, WA
  • NPI 1689951790
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1508878729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 E COLONIAL AVE STE C",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374644",
            "telephone_number": "509-765-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 E COLONIAL AVE STE C",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374644",
            "telephone_number": "509-765-7462",
            "fax_number": "509-765-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICA",
        "first_name": "RICHARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00039320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8290843",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellese Sharp, BA
• Kari Johanna Sherrill, RN
• Terry Shines, MSW
• Carol Shoemake, BA
• Sica Family Dermatology
• Mohammed Wajid Siddiqi, M.D
• Reaghan Kathleen Siebein, NP
• Everardo Silva Sr., RDH
• Timoteo Silvas
• Cathy Simon, BS

• Dermatology Physician in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.

Verify at the official NPI Registry.