Active NPI
Samuel Sirignano, MD
- Family Medicine Physician
- Vail, AZ
National Provider Identifier
1831287085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 36164
- Practice address
- 17407 S Indigo Crest Pass
Vail, AZ 85641-2772 - Phone
- (520) 437-9733
- NPI assigned
- Oct 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36164 | AZ | Primary |
Addresses
Primary practice location
17407 S Indigo Crest Pass
Vail, AZ 85641-2772
Mailing address
17407 S Indigo Crest Pass
Vail, AZ 85641-2772
Phone (520) 437-9733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 153993 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Greenberg MD and Gabriel Kaplan MD, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383609600000",
"number": "1831287085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17407 S INDIGO CREST PASS",
"city": "VAIL",
"state": "AZ",
"postal_code": "856412772",
"telephone_number": "520-437-9733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17407 S INDIGO CREST PASS",
"city": "VAIL",
"state": "AZ",
"postal_code": "856412772",
"telephone_number": "520-437-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRIGNANO",
"first_name": "SAMUEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2013-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "36164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "153993",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vail, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.