Active NPI
Richard Sidlow, M.D.
- Clinical Genetics (M.D.) Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Genetics (M.D.) Physician
- License
- 2023017776
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01947731 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Medical Genetics and Genomics
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2023017776 | MO | MD | Clinical Genetics (M.D.) Physician |
| A170253 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genexsure LLC | Clinical Genetics (M.D.) | Current | Accepting new patients |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Idaho Kidney Institute LLP | Current | Accepting new patients | |
| Valley Children'S Medical Group | Pediatrics | Current | Accepting new patients |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | Current | Accepting new patients |
| Confermed of California PC | Current | Accepting new patients | |
| Transtreme, LLC | Past | 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
- richard.sidlow@hca3.eclinicaldirectplus.com
- 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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Internal Medicine Physician
- Irvine, CA
- NPI 1316584709
-
- Nephrology Physician
- Chubbuck, ID
- NPI 1013064690
-
- Pediatrics Physician
- Modesto, CA
- NPI 1437555265
-
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
- Pediatrics Physician
- Denver, CO
- NPI 1720293251
-
- Family Nurse Practitioner
- Kansas City, MO
- NPI 1003290453
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.