Active NPI
Madison Sidani
- Certified Registered Nurse Anesthetist
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1095297
- Practice address
- 602 Indiana Ave
Lubbock, TX 79415-3364 - Phone
- (806) 775-8200
- NPI assigned
- Dec 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1095297 | TX | Primary |
Addresses
Primary practice location
602 Indiana Ave
Lubbock, TX 79415-3364
Mailing address
4628 94TH St
Lubbock, TX 79424-5016
Phone (405) 213-5309
Other names 1
- Madison Bayless
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12210 Quaker Ave
Lubbock, TX 79424-7789
Phone (806) 792-5900
3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 725-0000
6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000
Hospital & facility affiliations
- Covenant Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- Quality
- 87.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1095297 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| West Texas Eye PA | Current | Accepting new patients | |
| West Texas Eye PA | Current | Accepting new patients | |
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients |
Locations
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161
3611 50th St
Lubbock, TX 79413
Phone (806) 792-5900
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
5109 80th St
Lubbock, TX 79424
Phone (806) 792-5900
12210 Quaker Ave
Lubbock, TX 79424
Phone (806) 792-5900
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
Interoperability endpoints
- madison.sidani.p30@direct.avp.nextgenshare.com
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- Lubbock, TX
- NPI 1184733586
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Podiatrist
- Lubbock, TX
- NPI 1538239769
-
- Durable Medical Equipment & Medical Supplies
- Midland, TX
- NPI 1063212157
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1972517365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1558073551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4628 94TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794245016",
"telephone_number": "405-213-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 INDIANA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794153364",
"telephone_number": "806-775-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDANI",
"first_name": "MADISON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1095297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADISON",
"last_name": "BAYLESS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.
- 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.