Individual provider Active NPI

Maxcie Marie Sikora, M.D.

  • Allergy & Immunology Physician
  • Destin, FL
National Provider Identifier
1982886826
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD30044 Issued in AL
Practice address
971 Airport Rd
Destin, FL 32541-2803
Phone
(850) 654-4641
Fax
(850) 654-9295
NPI assigned
Dec 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD200817 LA
Allergy Physician 207KA0200X 149180 FL
Pediatric Allergy/Immunology Physician 2080P0201X MD.200817 LA
Allergy & Immunology Physician 207K00000X MD30044 AL Primary

Addresses

Primary practice location

971 Airport Rd
Destin, FL 32541-2803

Mailing address

971 Airport Rd
Destin, FL 32541-2803
Phone (850) 654-4641

Other practice location 1

504 Brookwood Blvd
Homewood, AL 35209-6802
Phone (205) 871-9661

Other identifiers 3

IdentifierTypeStateIssuer
08836528MedicaidMS
114554000MedicaidFL
1079952MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20100614000772 AL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 7214002443
I20220623001797 FL Practitioner - Allergy/Immunology 7214002443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of South Alabama College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Allergist of Florida LLCGroup PAC ID 9931232063, 23 clinicians

Practice addresses (Care Compare)

2401 Saint Andrews Blvd
Panama City, FL 32405-2170
Phone (850) 785-2717

400 Tamiami TRL S
Suite 170
Venice, FL 34285-2612
Phone (941) 800-2901

971 Airport Rd
Destin, FL 32541-2803
Phone (850) 654-4541

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30044ALMDAllergy & Immunology Physician
149180FLMDAllergy Physician
MD.200817LAMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Allergist of Florida LLC Allergy & Immunology CurrentSince Feb 1, 2024 Accepting new patients
Allergy & Asthma Center of Northwest Florida PA Allergy & Immunology CurrentSince Jun 1, 2022 Accepting new patients
Premier Allergist of Florida LLC Allergy & Immunology Past Accepting new patients

Locations

971 Airport Rd
Destin, FL 32541
Phone (850) 654-4541

8461 Cypress Lake Dr
Fort Myers, FL 33919
Phone (239) 489-1398

2401 Saint Andrews Blvd
Panama City, FL 32405
Phone (850) 705-2717

6160 N Davis Hwy
Ste 3
Pensacola, FL 32504
Phone (850) 473-1121

8354 N Davis Hwy
Ste 120
Pensacola, FL 32514
Phone (850) 473-1121

400 Tamiami Trl S
Ste 170
Venice, FL 34285
Phone (941) 499-0392

Interoperability endpoints

  • Direct secure messaging: sikora.maxcie.013.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: sikora.maxcie.021.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: sikora.maxcie.042.0090427@avh.meditab.direct-ci.com
  • Direct secure messaging: sikora.maxcie.017.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: sikora.maxcie.015.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: sikora.maxcie.016.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: sikora.maxcie.014.0010059@aaac.meditab.direct-ci.com
  • Direct secure messaging: sikora.maxcie.001.0010059@aaac.meditab.direct-ci.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.

Hospital & facility affiliations 2

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1982886826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412803",
            "telephone_number": "850-654-4641",
            "fax_number": "850-654-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412803",
            "telephone_number": "850-654-4641",
            "fax_number": "850-654-9295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Brookwood Blvd",
            "address_purpose": "LOCATION",
            "city": "Homewood",
            "state": "AL",
            "postal_code": "352096802",
            "country_code": "US",
            "telephone_number": "205-871-9661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKORA",
        "first_name": "MAXCIE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "MD200817",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "FL",
            "license": "149180",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "LA",
            "license": "MD.200817",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AL",
            "license": "MD30044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08836528",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114554000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1079952",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.