NPIMap

Individual provider Active NPI

Jude Francis Sidari, MD

  • Internal Medicine Physician
  • Hazleton, PA
National Provider Identifier
1700825452
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD040325L Issued in PA
Practice address
235 W Chestnut St
Hazleton, PA 18201-6230
Phone
(570) 455-3339
Fax
(570) 455-2939
NPI assigned
Jun 6, 2006
Last updated
Sep 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD040325L PA Primary

Addresses

Primary practice location

235 W Chestnut St
Hazleton, PA 18201-6230

Mailing address

235 W Chestnut St
Hazleton, PA 18201-6230
Phone (570) 455-3339

Other identifiers 4

IdentifierTypeStateIssuer
147232OtherBS
1022921120001MedicaidPA
149219OtherPAMEDICARE ID
0012196990002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090427000028 PA Practitioner - Internal Medicine 9032267372 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

235 W Chestnut St
Hazelton, PA 18201-6230
Phone (570) 455-3339

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.96 of 100Reported as individual
Quality
30
Improvement activities
40
Cost
80.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine Transitional Care - Ltcaco LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Advanced Inpatient Medicine Transitional Care PC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Jude F. Sidari, M.D., PC CurrentSince Apr 20, 2009 Accepting new patients
Pottsville SNF Operations LLC Past Accepting new patients

Locations

235 W Chestnut St
Hazleton, PA 18201
Phone (570) 455-3339

575 N River St
#M
Wilkes Barre, PA 18764

80 E Northampton St
Wilkes Barre, PA 18701
Phone (570) 826-1031

Organizations & group practices 4

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.

Hospital & facility affiliations 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1700825452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W CHESTNUT ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016230",
            "telephone_number": "570-455-3339",
            "fax_number": "570-455-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W CHESTNUT ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182016230",
            "telephone_number": "570-455-3339",
            "fax_number": "570-455-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDARI",
        "first_name": "JUDE",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD040325L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "147232",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022921120001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "149219",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012196990002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.