Stephen Charles Sirota, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

50242 Issued in AZ

Practice address

5501 N 19TH Ave Ste 111
Phoenix, AZ 85015-2451

Phone

(602) 288-7267

NPI assigned

Sep 23, 2005

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 1

Medicare fee-for-service enrollment

Enrolled in AZ, CA, NV3 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 3

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 and National Provider Directory roles.

• Tri-State Medical Specialists LLC

  • Pain Medicine Physician
  • Fort Mohave, AZ
  • NPI 1649598426

  CA, NV

  Medicare reassignment
• Arizona Infusion Centers LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1184351298
  NPD
• Banner Gateway Medical Center

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1699884858

  Interventional Pain Medicine

  NPD (past)
• Honorhealth

  • General Acute Care Hospital
  • Scottsdale, AZ
  • NPI 1386608859

  Interventional Pain Medicine

  NPD (past)
• Ortho Sport & Spine Physicians of Arizona

  • Physical Medicine & Rehabilitation Physician
  • Phoenix, AZ
  • NPI 1184332777
  NPD (past)
• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • Richmond Hill, NY
  • NPI 1780071548

  Physical Medicine & Rehabilitation

  NPD (past)
• Long Island Jewish Medical Center

  • Children's Hospital
  • New Hyde Park, NY
  • NPI 1174530349

  Interventional Pain Medicine

  NPD (past)
• Ortho Sport & Spine Physicians of Nevada, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Henderson, NV
  • NPI 1841908522
  NPD (past)
• Ortho Sport & Spine Physicians of New Mexico LLC

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
  • NPI 1396421038
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1720074800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152451",
            "telephone_number": "602-288-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152451",
            "telephone_number": "602-288-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTA",
        "first_name": "STEPHEN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "50242",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AZ",
            "license": "50242",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "50242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099987",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Siri Priyam, LLC
• Daria Siriano
• Shantipriya Siripurapu, MD
• Lisa A. Sirko, COTA
• Lorie Sirola, MAPC, LPC, LISAC
• Sirounian Orthopedics PC
• Thomas Joel Sirrine, P.A.-C
• Patrick Sis
• Freddy Sisango
• Sisay3020Llc

• Interventional Pain Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.