Peter P Sidoriak, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002367L Issued in PA

Practice address

1851 West End Ave
Pottsville, PA 17901-2050

Phone

(570) 622-3668

Fax

(570) 622-2920

NPI assigned

Apr 22, 2006

Last updated

Nov 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Peter P Sidoriak

  • Durable Medical Equipment & Medical Supplies
  • Pottsville, PA
  • NPI 1356523286
  Authorized official Same address or phone

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1972569515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 WEST END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012050",
            "telephone_number": "570-622-3668",
            "fax_number": "570-622-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 WEST END AVE",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179012050",
            "telephone_number": "570-622-3668",
            "fax_number": "570-622-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDORIAK",
        "first_name": "PETER",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002367L",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0001394",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0200",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017120040001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Elaine Shuker, CRNP
• Christian Shuman, MD
• Don Paul Shurman, D.O.
• Kimberly Shutt, MS OTR/L
• Charles Edmund Siarkowski III, PHARM D
• Edward James Silverman, M.D.
• Eric Siminitus, PA-S
• Rajendra Singh, MD
• Satish C Singla, M.D.
• Joann Sites

• Podiatrist in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.