Active NPI
Sidney D Machefsky, M.D.
- Vascular & Interventional Radiology Physician
- St Charles, MO
National Provider Identifier
1780617050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Practice address
- 300 First Capitol Drive
St Charles, MO 63301 - Phone
- (636) 947-5444
- NPI assigned
- Jul 9, 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R8634 | MO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | R8634 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | IL | ||
| Vascular & Interventional Radiology Physician | 2085R0204X | IL | Primary |
Addresses
Primary practice location
300 First Capitol Drive
St Charles, MO 63301
Mailing address
220 Compass Point Dr
Saint Charles, MO 63301-4405
Phone (636) 947-4480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00122213 | Other | IL | RAILROAD MEDICARE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036062828 | IL | MD | Vascular & Interventional Radiology Physician |
| R8634 | MO | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boonslick Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Radiologic Imaging Consultants, LLP | Diagnostic Radiology | Past | Accepting new patients |
| Metro Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Saint Charles, MO
- NPI 1972666162
-
- Diagnostic Radiology Physician
- Creve Coeur, MO
- NPI 1760578496
-
- Diagnostic Radiology Physician
- St Charles, MO
- NPI 1871689505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1780617050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 COMPASS POINT DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633014405",
"telephone_number": "636-947-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 FIRST CAPITOL DRIVE",
"city": "ST CHARLES",
"state": "MO",
"postal_code": "63301",
"telephone_number": "636-947-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHEFSKY",
"first_name": "SIDNEY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R8634",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MO",
"license": "R8634",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "P00122213",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.