Active NPI
Joseph J Sicora, M.D.
- Family Medicine Physician
- Brooklyn Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30185
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30185 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | Accepting new patients | |
| North Memorial Health Care | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| North Memorial Home Health and Hospice | 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.
-
dba North Memorial Health Hospice
- Community Based Hospice Care Agency
- Robbinsdale, MN
- NPI 1437174810
W-2 Managing Employee
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.
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
-
- Clinic/Center
- Blaine, MN
- NPI 1841995552
-
dba North Memorial Health - Minnetonka Medical Center
- Primary Care Clinic/Center
- Minnetonka, MN
- NPI 1952732729
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Memorial Health Hospice
- Community Based Hospice Care Agency
- Robbinsdale, MN
- NPI 1437174810
-
dba North Memorial Ambulance Service
- Ambulance
- Brooklyn Center, MN
- NPI 1538195912
Hospital
-
dba North Memorial Health Specialty Center - Robbinsdale
- Medical Specialty Clinic/Center
- Robbinsdale, MN
- NPI 1699953000
Hospital
-
dba North Memorial Health Hospital
- General Acute Care Hospital
- Robbinsdale, MN
- NPI 1851344907
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.