Individual provider Active NPI

Miroslawa E Sikorska, MD

  • Pediatrics Physician
  • Morehead, KY
National Provider Identifier
1760708572
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
43457 Issued in KY
Practice address
716 W Main St
Morehead, KY 40351-1444
Phone
(606) 780-5364
Fax
(606) 780-2380
NPI assigned
Apr 19, 2010
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 43457 KY Primary

Addresses

Primary practice location

716 W Main St
Morehead, KY 40351-1444

Mailing address

234 Medical Cir
Morehead, KY 40351-1194
Phone (606) 780-5330

Other identifiers 2

IdentifierTypeStateIssuer
43457OtherKYLICENSE
7100111900MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43457KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates Prof LLC PastSince Feb 23, 2025 Accepting new patients
Montrose Memorial Hospital, Inc Past Accepting new patients
Pediatric Associates Prof LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: miroslawa.sikorska.1@11212.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1760708572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MEDICAL CIR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511194",
            "telephone_number": "606-780-5330",
            "fax_number": "606-780-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 W MAIN ST",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403511444",
            "telephone_number": "606-780-5364",
            "fax_number": "606-780-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORSKA",
        "first_name": "MIROSLAWA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "43457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "43457",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100111900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.