Individual provider Active NPI

Michael Hamilton Sifford, M.D.

  • Gastroenterology Physician
  • Jonesboro, AR
National Provider Identifier
1538243720
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E5204 Issued in AR
Practice address
1000 East Matthews Suite E
Jonesboro, AR 72401-4344
Phone
(870) 336-0472
Fax
(870) 336-5320
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 37470 KY
Gastroenterology Physician 207RG0100X E5204 AR Primary

Addresses

Primary practice location

1000 East Matthews Suite E
Jonesboro, AR 72401-4344

Mailing address

1000 East Matthews Suite E
Jonesboro, AR 72401-4344
Phone (870) 336-0472

Other identifiers 1

IdentifierTypeStateIssuer
164606001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20070628000616 AR Practitioner - GastroenterologyPractitioner - Internal Medicine 4082713250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Arkansas College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy376
Upper gastrointestinal (GI) endoscopy for acid reflux379

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37470KYMDSpecialist
E5204ARMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1100 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-8500

1007 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 336-0472

Interoperability endpoints

  • Direct secure messaging: michaelsifford@sbpc.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1538243720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST MATTHEWS SUITE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014344",
            "telephone_number": "870-336-0472",
            "fax_number": "870-336-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST MATTHEWS SUITE E",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014344",
            "telephone_number": "870-336-0472",
            "fax_number": "870-336-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFFORD",
        "first_name": "MICHAEL",
        "middle_name": "HAMILTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "37470",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E5204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164606001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.