Individual provider Active NPI

Richard Sidlow, M.D.

  • Clinical Genetics (M.D.) Physician
  • Columbia, MO
National Provider Identifier
1689647380
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
2023017776 Issued in MO
Practice address
1020 Hitt St
Columbia, MO 65212-0001
Phone
(573) 882-6921
Fax
(573) 882-1154
NPI assigned
Feb 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 205196 NY
Pediatrics Physician 208000000X A170253 CA
Pediatrics Physician 208000000X 2023017776 MO
Clinical Genetics (M.D.) Physician 207SG0201X 2023017776 MO Primary

Addresses

Primary practice location

1020 Hitt St
Columbia, MO 65212-0001

Mailing address

PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300

Other identifiers 1

IdentifierTypeStateIssuer
01947731MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO, CO, ID, VA, TN6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20201030002391 CA Practitioner - Pediatric Medicine 4880952670 Reassigns benefits to 2 organizations
I20230921002068 MO Practitioner - Medical Genetics and GenomicsPractitioner - Pediatric Medicine 4880952670 Reassigns benefits to 1 organization
I20240424001496 CO Practitioner - Medical Genetics and GenomicsPractitioner - Pediatric Medicine 4880952670
I20250630001628 ID Practitioner - Medical Genetics and Genomics 4880952670 Reassigns benefits to 1 organization
I20250723004281 VA Practitioner - Medical Genetics and Genomics 4880952670 Reassigns benefits to 1 organization
I20250829003561 TN Practitioner - Medical Genetics and Genomics 4880952670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and GenomicsAlso: Pediatric Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians

Practice addresses (Care Compare)

404 N Keene St
Suite 101
Columbia, MO 65201-6626
Phone (573) 882-6921

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2023017776MOMDClinical Genetics (M.D.) Physician
A170253CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genexsure LLC Clinical Genetics (M.D.) CurrentSince May 4, 2025 Accepting new patients
The Curators of the University of Missouri CurrentSince Jul 25, 2023 Accepting new patients
Idaho Kidney Institute LLP CurrentSince Jun 1, 2025 Accepting new patients
Valley Children'S Medical Group Pediatrics CurrentSince Oct 5, 2020 Accepting new patients
Curators of the University of Missouri CurrentSince Jul 25, 2023 Accepting new patients
Healthone Clinic Services - Pediatric Specialties LLC Pediatrics CurrentSince May 15, 2024 Accepting new patients
Confermed of California PC CurrentSince Jan 1, 2025 Accepting new patients
Transtreme, LLC PastSince Jun 1, 2025 Accepting new patients
Confermed PC Clinical Genetics (M.D.) Past Accepting new patients

Locations

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

2055 N High St
Ste 370
Denver, CO 80205

2055 N High St
Ste 110
Denver, CO 80205
Phone (303) 301-9019

11 Silver St
Unit 856
Middletown, CT 06457

1501 Hiland Ave
Ste M
Burley, ID 83318
Phone (208) 352-7555

404 N Keene St
#101
Columbia, MO 65201
Phone (573) 882-6921

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

404 N Keene St
Ste 101
Columbia, MO 65201
Phone (573) 882-6921

1020 Hitt St
Columbia, MO 65212
Phone (573) 882-6921

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1320 Richmond Rd
Williamsburg, VA 23185
Phone (615) 933-6014

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: richard.sidlow@hca3.eclinicaldirectplus.com
  • Direct secure messaging: rsidlow50653@valleychildrens-prd.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1689647380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843966",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843966",
            "telephone_number": "573-884-3300",
            "fax_number": "573-884-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 HITT ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652120001",
            "telephone_number": "573-882-6921",
            "fax_number": "573-882-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDLOW",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-12",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "205196",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A170253",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2023017776",
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MO",
            "license": "2023017776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01947731",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "404 N Keene St Ste 101",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652016626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.