Individual provider Active NPI

Sisir Siddamsetti, MD

  • Cardiovascular Disease Physician
  • Milwaukee, WI
National Provider Identifier
1790169787
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2024033499 Issued in MO
Practice address
945 N 12TH St
Milwaukee, WI 53233-1305
Phone
(920) 400-9797
NPI assigned
Jul 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X PENDING KS
Internal Medicine Physician 207R00000X 125066643 IL
Cardiovascular Disease Physician 207RC0000X 2024033499 MO Primary

Addresses

Primary practice location

945 N 12TH St
Milwaukee, WI 53233-1305

Mailing address

945 N 12TH St
Milwaukee, WI 53233-1305
Phone (920) 400-9797

Other practice location 1

902 N Riverside Rd Ste 100
Saint Joseph, MO 64507-2566
Phone (816) 271-1241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241015001611 MO Practitioner - Cardiovascular Disease (Cardiology) 0042516122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

105 Far W Dr
St Joseph, MO 64506-3514

1115 N Belt Hwy
Mosaic Life Care
Saint Joseph, MO 64506-2410
Phone (816) 271-7077

1600 E Evergreen St
Cameron Regional Medical Center
Cameron, MO 64429-2400
Phone (660) 632-2101

1610 E Evergreen St B
Mosaic Life Care
Cameron, MO 64429-2400
Phone (816) 632-4492

2016 S Main St
Mosaic Life Care
Maryville, MO 64468-2655
Phone (660) 562-2600

2024 S Main St
Maryville, MO 64468-2655

2600 Miller St
Bethany, MO 64424-2701
Phone (660) 425-2211

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5204 N Belt Hwy Entrance a
Mosaic Life Care
St Joseph, MO 64506-1211
Phone (816) 383-8180

5210 N Belt Hwy
Suite D
Saint Joseph, MO 64506-1211

5210 N Belt Hwy Entrance B
Mosaic Life Care
Saint Joseph, MO 64506-1211
Phone (816) 271-1330

5210 N Belt Hwy Entrance C
Mosaic Life Care
St Joseph, MO 64506-1211
Phone (816) 271-1361

5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

5514 Corporate Dr
Suite 150
Saint Joseph, MO 64507-7763
Phone (816) 271-1220

705 N College St
Northwest Medical Center
Albany, MO 64402-1433
Phone (660) 726-3941

901 Heartland Rd
Saint Joseph, MO 64506-6201

902 N Riverside Rd
St Joseph, MO 64507-2566

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PENDINGKSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Internal Medicine Current Accepting new patients
Heartland Regional Medical Center Internal Medicine CurrentSince Sep 17, 2024 Accepting new patients
Heartland Regional Medical Center CurrentSince Sep 17, 2024 Accepting new patients
Mosaic Medical Center - Maryville Internal Medicine CurrentSince Sep 14, 2024 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Sep 14, 2024 Accepting new patients

Locations

705 N College St
Albany, MO 64402
Phone (660) 726-3941

1600 E Evergreen St
Ste C
Cameron, MO 64429
Phone (816) 632-2139

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

114 E South Hills Dr
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

902 N Riverside Rd
Ste 100
Saint Joseph, MO 64507
Phone (816) 271-1241

1707 E 9th St
Trenton, MO 64683
Phone (660) 339-8500

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1790169787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "920-400-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 N 12TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331305",
            "telephone_number": "920-400-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 N Riverside Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645072566",
            "country_code": "US",
            "telephone_number": "816-271-1241",
            "fax_number": "816-279-7794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDAMSETTI",
        "first_name": "SISIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125066643",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2024033499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.