Thomas Matthew Sichi, DO MPH

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

005602 Issued in AZ

Practice address

6751 E Diablo Dr
Kingman, AZ 86401-8341

Phone

(928) 692-0273

NPI assigned

Apr 19, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Emergency Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ventura County Medical Center Hospital, Ventura, CA, CCN 050159

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• County of Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  Medicare reassignment Care Compare group NPD
• Santa Ynez River Physicians, PC

  • Emergency Medicine Physician
  • Lompoc, CA
  • NPI 1396210597
  Medicare reassignment NPD
• Seaside Emergency Associates

  • Emergency Medicine Physician
  • Ventura, CA
  • NPI 1639577802
  Medicare reassignment NPD
• County of Ventura

  • Federally Qualified Health Center (FQHC)
  • Thousand Oaks, CA
  • NPI 1316188253
  NPD
• MMC Emergency Physicians Medical Group, Inc

  • Emergency Medicine Physician
  • Santa Maria, CA
  • NPI 1285670406
  NPD (past)

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

• County of Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  Care Compare affiliation

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1841516663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 STOCKTON HILL AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401",
            "telephone_number": "928-757-0645",
            "fax_number": "928-681-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6751 E DIABLO DR",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864018341",
            "telephone_number": "928-692-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICHI",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DO MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "005602",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A12631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherif Nasef, MD, PLLC
• Mijjal Gopal Shrestha, MD
• Shifali Shrivastava, MS, MD
• Kelly D Shuffler, DC
• Stephen Scott Shuffler, D.C.
• Christine Gail Siefker, PHARMD
• Lalaine Demayo Silbol
• Emanuel Silva, MD
• Silver Ridge Perinatal Center, Inc.
• Andrea Terese Sims

• Emergency Medicine Physician in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.

Verify at the official NPI Registry.