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DR. THERESE MARIE LUCIETTO-SIERADZKI M.D. NPI 1699708636


NPI Information

NPI: 1699708636
Provider Name: DR. THERESE MARIE LUCIETTO-SIERADZKI, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: BELOIT HEALTH SYSTEM INC

PECOS Registration: Yes

Address:
205 CADILLAC CT STE 7
BELVIDERE, IL
ZIP 61008
Phone: (815) 544-0087
Get Directions

DR. Therese Marie Lucietto-sieradzki, M.D. is a family medicine in Belvidere, IL with 26 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Therese Marie Lucietto-sieradzki, M.D. NPI is 1699708636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1998

The provider's business location address is:

205 CADILLAC CT STE 7
BELVIDERE, IL
ZIP 61008-733
Phone: (815) 544-0087
Fax: (815) 544-0088

The NPI 1699708636 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

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.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Automated urinalysis test (HCPCS:81003)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin A1C level (HCPCS:83036)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine for injection into muscle (HCPCS:90670)

The enumeration date for this NPI number is 7/9/2006 and was last updated on 6/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0401XFamily MedicineAddiction Medicine036102862ILLINOISNo
2207Q00000XFamily Medicine036102862ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
107132017OTHERILLINOISBLUE CROSS BLUE SHIELD ID
2201772810001OTHERILLINOISMEDICAID RURAL HEALTH ID
3036102862MEDICAIDILLINOIS
4148976OTHERILLINOISMEDICARE-RIVERBEND ID

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.