Richard E Sievers, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13632 Issued in TN

Practice address

6005 Park Ave
Ste 624B
Memphis, TN 38119-5221

Phone

(901) 682-1100

Fax

(901) 682-6915

NPI assigned

Jun 17, 2005

Last updated

Apr 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in TN, AR2 enrollments

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 2

Specialty

Ophthalmology

Education

Wake Forest University School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid South Retina Associates, LLCGroup PAC ID 8921080094, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rsievers@msra.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid South Retina Associates, LLC

  • Ophthalmology Physician
  • Blytheville, AR
  • NPI 1316973076
  Medicare reassignment Care Compare group NPD Authorized official
• Mid-South Retina Associates, LLC

  • Ophthalmology Physician
  • Memphis, TN
  • NPI 1215963350
  NPD Authorized official
• Mid South Retina Associates LLC

  • Ophthalmology Physician
  • Corinth, MS
  • NPI 1598700254
  NPD Authorized official
• Mid South Retina Associates, LLC

  • Ophthalmology Physician
  • Jackson, TN
  • NPI 1447286802
  Medicare reassignment
• Mid-South Retina Associates, LLC

  • Ophthalmology Physician
  • Dyersburg, TN
  • NPI 1689600215
  NPD (past) Authorized official
• Mid-South Retina Associates, LLC

  • Ophthalmology Physician
  • Corinth, MS
  • NPI 1235329145
  NPD (past) Authorized official
• Mid-South Retina Associates, LLC

  • Ophthalmology Physician
  • Murray, KY
  • NPI 1255376919
  Authorized official Same address or phone
• Mid-South Retina Associates, LLC

  • Ophthalmology Physician
  • Jonesboro, AR
  • NPI 1861428534
  NPD (past) Authorized official
• Mid-South Retina Associates, LLC

  • Ophthalmology Physician
  • Olive Branch, MS
  • NPI 1639891088
  NPD (past)
• Mid-South Retina Associates, LLC

  • Ophthalmology Physician
  • Wynne, AR
  • NPI 1730753781
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1962407791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000 DEPT 448",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480448",
            "telephone_number": "901-682-1100",
            "fax_number": "901-682-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "STE 624B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195221",
            "telephone_number": "901-682-1100",
            "fax_number": "901-682-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVERS",
        "first_name": "RICHARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "13632",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AR",
            "license": "N7179",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "15012",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AR",
            "license": "N7179",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MS",
            "license": "15012",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TN",
            "license": "13632",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ARKANSAS",
            "identifier": "5M128",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180030599",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3011132",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00777025",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119412",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202044103",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TENNESSEE",
            "identifier": "0053763",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107479001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel I Siegel, MD
• Rachel Siegel, OTR/L
• Dasirae Danielle Sieh, DDS
• Daniel Kipkemoi Siele, MD
• Danielle Sierra
• Lena Nicole Sifen, MD, PA-C
• Stephanie Lynn Sigale, DO, MA, MPH
• Lauren Sigley Ramsay, AUD
• Kristin Alexis Signater, MD
• Raymond S Signore, RNFA

• Ophthalmology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.