Christian W Sikorski, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

20100093266 Issued in MO

Practice address

12266 De Paul Dr Ste 100
Bridgeton, MO 63044-2541

Phone

(314) 738-2770

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Neurosurgery

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Physical Therapy of Creve Coeur LLCGroup PAC ID 7719280841, 85 clinicians

Neurosurgery and Neurology LLCGroup PAC ID 2769412246, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke's Home Health Services Home health agency, Chesterfield, MO, CCN 267561
• St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
• SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neurosurgery and Neurology LLC

  • Specialist
  • Chesterfield, MO
  • NPI 1134291388

  Neurological Surgery

  Medicare reassignment Care Compare group NPD
• Lake Michigan Neurolgical Surgery

  • Specialist
  • Saint Joseph, MI
  • NPI 1336196179

  Neurological Surgery

  NPD (past) Authorized official
• Elite Physical Therapy of Creve Coeur LLC

  dba CORA Physical Therapy - Creve Coeur

  • Rehabilitation Clinic/Center
  • Creve Coeur, MO
  • NPI 1679947774
  Care Compare group

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

• SSM Select Rehab St Louis LLC

  • Rehabilitation Hospital
  • Richmond Heights, MO
  • NPI 1659511988

  Inpatient rehabilitation facility

  Care Compare affiliation
• St. Lukes Episcopal-Presbyterian Hospital

  dba St. Luke's Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543
  Care Compare affiliation
• St. Lukes Episcopal-Presbyterian Hospital

  dba St. Luke's Home Health Services

  • Home Health Agency
  • Chesterfield, MO
  • NPI 1720220858
  Care Compare affiliation

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1629043930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 DE PAUL DR STE 100",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442541",
            "telephone_number": "314-738-2770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 E US Highway 6",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463838947",
            "country_code": "US",
            "telephone_number": "219-477-3947",
            "fax_number": "219-477-3955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3950 Hollywood Rd",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MI",
            "postal_code": "490859159",
            "country_code": "US",
            "telephone_number": "269-556-1990",
            "fax_number": "269-556-1996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKORSKI",
        "first_name": "CHRISTIAN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301087045",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01082618A",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "20100093266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "252000123",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0111095",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104938622",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "OP32880",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300032360",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "12266 De Paul Dr Ste 100",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csikorski374810@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "csikorski374810@direct-ehr-ssmhc.com",
            "address_1": "12266 De Paul Dr Ste 100",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Shulman, MS, OTR/L
• Noaman W Siddiqi, MD
• Adnan Siddiqui, MD
• Hamnah Tabassum Siddiqui, MD
• Navid S Siddiqui, MD
• Sarah Beth Simmon, PA
• Christina Nicole Simpson, RPH
• Samantha Simpson, MSW
• Christopher John Sims
• Gurcharan Singh, M.D.

• Neurological Surgery Physician in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Neurological Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.