Individual provider Active NPI

Sidney Dane Treat, MD

  • Family Medicine Physician
  • Tempe, AZ
National Provider Identifier
1982649653
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33492 Issued in AZ
Practice address
2501 E Southern Ave
Suite 1
Tempe, AZ 85282-7666
Phone
(602) 337-5609
Fax
(877) 451-0270
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 33492 AZ
Family Medicine Physician 207Q00000X 33492 AZ Primary

Addresses

Primary practice location

2501 E Southern Ave
Suite 1
Tempe, AZ 85282-7666

Mailing address

2501 E Southern Ave Ste 1
Tempe, AZ 85282-7666
Phone (602) 337-5609

Other identifiers 1

IdentifierTypeStateIssuer
917502MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050421000483 AZ Practitioner - Family PracticePractitioner - Other (Physician) 9537107362 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33492AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Urgent Care PLLC CurrentSince Jul 25, 2012 Accepting new patients
Arizona Heart Specialists PLLC Past Accepting new patients
Thompson Peak Family Care, PC Family Medicine Past Accepting new patients

Locations

9897 W McDowell Rd
Ste 100
Tolleson, AZ 85353
Phone (623) 474-2300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3660/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sidney.treat@qm.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1982649653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E SOUTHERN AVE STE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827666",
            "telephone_number": "602-337-5609",
            "fax_number": "877-451-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E SOUTHERN AVE",
            "address_2": "SUITE 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827666",
            "telephone_number": "602-337-5609",
            "fax_number": "877-451-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREAT",
        "first_name": "SIDNEY",
        "middle_name": "DANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-01-06",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AZ",
            "license": "33492",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "33492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "917502",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.