PETER P SIDORIAK DPM NPI 1972569515

NPI Information

  • NPI: 1972569515
  • Provider Name: PETER P SIDORIAK, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1851 WEST END AVE
    POTTSVILLE, PA
    ZIP 17901
  • Phone: (570) 622-3668

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NPI Details

Peter P Sidoriak, DPM is a podiatrist in Pottsville, PA with 45 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Peter P Sidoriak, DPM NPI is 1972569515. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1981

The provider's business location address is:

1851 WEST END AVE
POTTSVILLE, PA
ZIP 17901-050
Phone: (570) 622-3668
Fax: (570) 622-2920

The NPI 1972569515 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).

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.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 4/22/2006 and was last updated on 11/15/2007.

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
1213E00000XPodiatristPO0001394FLORIDANo
2213E00000XPodiatrist0200ARIZONANo
3213E00000XPodiatristSC002367LPENNSYLVANIAYes

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
10017120040001MEDICAIDPENNSYLVANIA
2T30026MEDICARE UPIN
3187101MEDICARE ID-TYPE UNSPECIFIED
40485860001MEDICARE NSCPENNSYLVANIA

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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