Individual provider Active NPI

Joseph J Sicora, M.D.

  • Family Medicine Physician
  • Brooklyn Park, MN
National Provider Identifier
1972690550
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30185 Issued in MN
Practice address
8559 Edinbrook Pkwy
Ste 100
Brooklyn Park, MN 55443-3747
Phone
(763) 425-1888
NPI assigned
Oct 6, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30185 MN Primary

Addresses

Primary practice location

8559 Edinbrook Pkwy
Ste 100
Brooklyn Park, MN 55443-3747

Mailing address

8559 Edinbrook Pkwy
Ste 100
Brooklyn Park, MN 55443-3747
Phone (763) 425-1888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20080507000321 MN Practitioner - Family Practice 0244319895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Memorial Health CareGroup PAC ID 0042123028, 502 clinicians

Practice addresses (Care Compare)

15450 Hwy 7
Minnetonka, MN 55345-3522

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone (763) 581-5400

3435 W Broadway Ave
Robbinsdale, MN 55422-2969
Phone (763) 581-2800

4181 108TH Ave NE
Blaine, MN 55449-7439
Phone (651) 430-3800

5615 Xerxes Ave N
Brooklyn Center, MN 55430-2819
Phone (763) 581-2273

8100 42ND Ave N
New Hope, MN 55427-1107
Phone (763) 581-2273

8301 Golden Valley Rd
Suite 100
Golden Valley, MN 55427-4469
Phone (763) 581-2273

8559 Edinbrook Pkwy
Brooklyn Park, MN 55443-3747
Phone (763) 581-2273

8559 Edinbrook Pkwy
Suite 100
Brooklyn Park, MN 55443-3728
Phone (763) 581-2273

9855 Hospital Dr
Maple Grove, MN 55369-4648

9875 Hospital Dr
Maple Grove, MN 55369-4648
Phone (763) 581-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30185MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Memorial Health Care CurrentSince Aug 1, 1988 Accepting new patients
North Memorial Health Care Current Accepting new patients
North Memorial Health Care CurrentSince Aug 1, 1988 Accepting new patients

Locations

5615 Xerxes Ave N
Brooklyn Center, MN 55430
Phone (763) 581-5630

800 Freeport Ave NW
Ste 100
Elk River, MN 55330
Phone (763) 581-5200

9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220

9855 Hospital Dr
Ste 104
Maple Grove, MN 55369
Phone (763) 581-5900

9875 Hospital Dr
Maple Grove, MN 55369
Phone (763) 581-1000

327 Central Ave SE
Minneapolis, MN 55414
Phone (612) 379-1119

4209 Webber Pkwy
Minneapolis, MN 55412
Phone (763) 553-0544

8301 Golden Valley Rd
Ste 100
Minneapolis, MN 55427
Phone (763) 520-2200

8559 Edinbrook Pkwy
Minneapolis, MN 55443
Phone (763) 425-3644

8559 Edinbrook Pkwy
Ste 100
Minneapolis, MN 55443
Phone (612) 425-1888

2000 Plymouth Rd
Ste 100
Minnetonka, MN 55305
Phone (763) 581-5250

15535 34th Ave N
Plymouth, MN 55447
Phone (763) 581-5950

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3435 W Broadway Ave
Robbinsdale, MN 55422
Phone (763) 520-7887

2600 39th Ave NE
Saint Anthony, MN 55421
Phone (612) 706-2690

Interoperability endpoints

  • Direct secure messaging: jsicora5693@direct.northmemorial.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Memorial Home Health and HospiceRobbinsdale, MN, CCN 241506 Hospice W-2 Managing Employee Jan 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1972690550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8559 EDINBROOK PKWY",
            "address_2": "STE 100",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433747",
            "telephone_number": "763-425-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8559 EDINBROOK PKWY",
            "address_2": "STE 100",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433747",
            "telephone_number": "763-425-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICORA",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "30185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

Verify at the official NPI Registry.