Nancy Maged Sidarous, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

4590 Issued in AR

Practice address

8901 Carti Way
Little Rock, AR 72205-6523

Phone

(501) 906-3000

NPI assigned

Aug 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Loma Linda University School of Dentistry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Arkansas Radiation Therapy Institute IncGroup PAC ID 7810068400, 89 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.18 of 100Reported as group

Quality

90.37

Promoting interoperability

100

Improvement activities

40

Cost

73.56

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Arkansas Radiation Therapy Institute Inc

  • Hematology & Oncology Physician
  • Little Rock, AR
  • NPI 1508147810
  Medicare reassignment Care Compare group NPD
• Central Arkansas Radiation Therapy Institute Inc

  • Ambulatory Surgical Clinic/Center
  • Little Rock, AR
  • NPI 1902472715
  NPD

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1548872997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-906-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDAROUS",
        "first_name": "NANCY",
        "middle_name": "MAGED",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "4590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Shy, MD
• Edward Sickle, MD
• Bola Sidarous, RPH
• George Sidarous, MD
• Sidarous, LLC
• Peter Sidarous, MD
• Roopa S Siddaiah, M.D
• Mohammad Saif-Ur-Rehmam Siddiqui, MD
• Sayyadul M Siddiqui, MD
• Shagufta P Siddiqui, MD

• Dentist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.