Active NPI
Jeremy Michael Sikora, M.D.
- General Practice Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35.088029
- Practice address
- 4881 Sugar Maple Dr
88 Mdos/Sgoma
Dayton, OH 45433-5529 - Phone
- (937) 257-1684
- Fax
- (937) 257-1634
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 35.088029 | OH | Primary |
Addresses
Primary practice location
4881 Sugar Maple Dr
88 Mdos/Sgoma
Dayton, OH 45433-5529
Mailing address
4881 Sugar Maple Dr
88 Mdos/Sgoma
Dayton, OH 45433-5529
Phone (937) 257-1684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Northeastern Ohio University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2359 Lakeview Dr
Beavercreek, OH 45431-3695
Phone (800) 999-1249
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.25 of 100
- Quality
- 86.03
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.088029 | OH | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PSF PLLC | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2359 Lakeview Dr
Beavercreek, OH 45431
Phone (937) 431-0721
6275 E Broad St
Ste 100
Columbus, OH 43213
Phone (614) 759-4730
6252 Wilmington Pike
Ste B
Dayton, OH 45459
Phone (937) 234-4919
7927 Jessies Way
Hamilton, OH 45011
Phone (513) 894-0500
8501 Troy Pike
Ste 110
Huber Heights, OH 45424
Phone (937) 237-5101
2194 Kings Mills Rd
Mason, OH 45040
Phone (513) 229-9090
209 Rivers Edge
Milford, OH 45150
Phone (513) 274-2230
2121 E High St
Ste C
Springfield, OH 45505
Phone (937) 323-3585
Interoperability endpoints
- jeremy.m.sikora.familyallergyasthma@faa.meditab.direct-ci.com
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1679667828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"address_2": "88 MDOS/SGOMA",
"city": "DAYTON",
"state": "OH",
"postal_code": "454335529",
"telephone_number": "937-257-1684",
"fax_number": "937-257-1634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4881 SUGAR MAPLE DR",
"address_2": "88 MDOS/SGOMA",
"city": "DAYTON",
"state": "OH",
"postal_code": "454335529",
"telephone_number": "937-257-1684",
"fax_number": "937-257-1634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIKORA",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35.088029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.