Carl J Siciliano, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

TN0000000422 Issued in TN

Practice address

7424 US Highway 64
Ste 119
Bartlett, TN 38135

Phone

(901) 381-2800

Fax

(901) 381-2677

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• St Jude Children'S Research Hospital, Inc.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1306335088
  Medicare reassignment NPD

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1922056431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7424 HIGHWAY 64",
            "address_2": "SUITE 119",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38135",
            "telephone_number": "901-381-2800",
            "fax_number": "901-381-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 US HIGHWAY 64",
            "address_2": "STE 119",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "38135",
            "telephone_number": "901-381-2800",
            "fax_number": "901-381-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICILIANO",
        "first_name": "CARL",
        "middle_name": "J",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "TN0000000422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "P00450580",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Sherrill-Collier
• Austin Jordan Shinaberry, PHYSICIAN ASSISTANT
• Syed Hassan Shirazee, MD
• Roman Shulov
• Laura Schwent Shultz, PSY.D.
• Shelby Renee Silvis
• Jean Simard, M.D.
• Jenna Simmons
• Jessica Simpson, M.A., CCC-SLP
• Savannah Elizabeth/Margaret Sisk

• Podiatrist in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.