SALLY J SIDMAN MD NPI 1215952601

NPI Information

  • NPI: 1215952601
  • Provider Name: SALLY J SIDMAN, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 1206 E. NATIONAL AVENUE
    BRAZIL, IN
    ZIP 47834
  • Phone: (812) 442-2700

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NPI Details

Sally J Sidman, MD is an emergency medicine in Brazil, IN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Sally J Sidman, MD NPI is 1215952601. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1206 E. NATIONAL AVENUE
BRAZIL, IN
ZIP 47834
Phone: (812) 442-2700
Fax: (812) 442-2710

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)

The enumeration date for this NPI number is 7/13/2006 and was last updated on 3/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine036-098644ILLINOISNo
2207P00000XEmergency MedicineG74927CALIFORNIANo
3207P00000XEmergency Medicine01042578AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F84399MEDICARE UPIN
2206813003MEDICARE PINILLINOIS
3036098644OTHERILLINOISBLUE SHIELD
4100381480MEDICAIDINDIANA
5K02410MEDICARE PINILLINOIS
6000000602172OTHERINDIANABLUE SHIELD
7131180PPPMEDICARE PININDIANA
8036098644MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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