Active NPI
Sisir Siddamsetti, MD
- Cardiovascular Disease Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2024033499
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Mosaic Life Care at St Joseph
- Cameron Regional Medical Center
- Mosaic Medical Center - Maryville
- Mosaic Medical Center Albany
- Amberwell Atchison Association
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.76 of 100
- Quality
- 74.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 33 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Heartland Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Heartland Regional Medical Center | Current | Accepting new patients | |
| Mosaic Medical Center - Maryville | Internal Medicine | Current | Accepting new patients |
| Mosaic Medical Center - Maryville | Current | 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.
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1477575405
Internal Medicine
-
- General Practice Physician
- Saint Joseph, MO
- NPI 1538200357
Internal Medicine
-
- Rehabilitation Hospital Unit
- Saint Joseph, MO
- NPI 1841385093
-
- Psychiatric Hospital Unit
- Maryville, MO
- NPI 1477027803
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
-
- General Acute Care Hospital
- Cameron, MO
- NPI 1811905375
-
- Rehabilitation Hospital Unit
- Cameron, MO
- NPI 1215076393
-
- Psychiatric Hospital Unit
- Cameron, MO
- NPI 1598804676
-
- General Acute Care Hospital
- Saint Joseph, MO
- NPI 1437259694
-
- Critical Access Hospital
- Maryville, MO
- NPI 1265906663
-
- Critical Access Hospital
- Albany, MO
- NPI 1306893268
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.