DR. MARIA TERESA GOMEZ SIRUCEK D.C.
NPI 1104055383
Chiropractor in Meridian, ID

Q: What is Maria Teresa Sirucek's NPI number?

The NPI number for Maria Teresa Sirucek is 1104055383. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Q: What is Maria Teresa Sirucek's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since July 08, 2009

3080 E GENTRY WAY, SUITE 110, MERIDIAN, ID 83642(208) 345-7262(208) 343-1953 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Maria Teresa Gomez Sirucek D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIA TERESA GOMEZ SIRUCEK D.C. (NPI 1104055383) is an individual chiropractor in Meridian, Idaho, licensed in Idaho (CHIA-1370) and active in the NPI registry since July 2009. She is a graduate of Life Chiropractic College - West (2009).

NPPES Registry Identity

NPI1104055383

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameDR. MARIA TERESA GOMEZ SIRUCEKCredential: D.C.

Location Address3080 E GENTRY WAY, SUITE 110Meridian, ID 83642-3544

Mailing Address3080 E Gentry Way, Suite 110Meridian, ID 83642-3544 · (208) 345-7262 · Fax (208) 343-1953

Phone(208) 345-7262

Fax(208) 343-1953

Sole ProprietorNo

Medical School CMSLife Chiropractic College - WestGraduated 2009

Enumeration DateJuly 8, 2009

Last NPPES UpdateJanuary 10, 2013

✔ NPI 1104055383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in ID · CHIA-1370

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedChiropractor · NeurologyTaxonomy 111NN0400X · License CHIA-1370 (ID)

3080 E GENTRY WAY, Meridian, ID 83642

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Other Identifiers 2

Medicaid1093975302ID

Medicare UPIN800265693ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maria Teresa Gomez Sirucek D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557401056

PECOS Enrollment IDI20091214000602

Medicare Billing Reassignment

Medicare enrollment records show Maria Teresa Sirucek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sirucek Chiropractic Neurology Clinic, Inc.

Same address

Neurology

3080 E GENTRY WAY, SUITE 110
Meridian, ID 83642

Reassigned Medicare billing, Idaho enrollment
2 clinicians in this Medicare group

NPI 1093975302 (208) 345-7262

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIRUCEK CHIROPRACTIC NEUROLOGY CLINIC, INC.

Chiropractor (Neurology)

3080 E GENTRY WAY, SUITE 110
MERIDIAN, ID 83642

Ada County (208) 345-7262

BRIAN DOTTER

Pharmacist

3080 E GENTRY WAY
MERIDIAN, ID 83642

Ada County (208) 381-2494

BLUEBIRD HOME CARE, LLC

In Home Supportive Care

3080 E GENTRY WAY
MERIDIAN, ID 83642

Ada County (208) 336-9898

GEORGE CONDIT II

Massage Therapist

3080 E GENTRY WAY, #202
MERIDIAN, ID 83642

Ada County (208) 706-5287

ANDREW F HOLTZ DO

Family Medicine

3080 E GENTRY WAY, STE 200
MERIDIAN, ID 83642

Ada County (208) 884-3770

DR. LOUIS MICHAEL SCHLICKMAN M.D.

Internal Medicine

3080 E GENTRY WAY, SUITE 200
MERIDIAN, ID 83642

Ada County (208) 884-3770

DR. DAX SIRUCEK DC, DACNB

Chiropractor (Neurology)

3080 E GENTRY WAY, 110
MERIDIAN, ID 83642

Ada County (208) 345-7262

ALICIA ROSALES LCSW

Social Worker (Clinical)

3080 E GENTRY WAY, 202
MERIDIAN, ID 83642

Ada County (208) 706-7286

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Teresa Sirucek's NPI number?

The NPI number for Maria Teresa Sirucek is 1104055383. It was assigned to this individual provider in the NPPES registry on July 8, 2009.

Where is Maria Teresa Sirucek located?

Maria Teresa Sirucek practices at 3080 E Gentry Way Suite 110, Meridian, ID 83642. The listed phone number is (208) 345-7262.

What is Maria Teresa Sirucek's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Maria Teresa Sirucek enrolled in Medicare?

Yes. Maria Teresa Sirucek is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maria Teresa Sirucek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Teresa Sirucek reassigns Medicare benefits to Sirucek Chiropractic Neurology Clinic, Inc. (Meridian, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maria Teresa Sirucek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Teresa Sirucek accept?

Health plans from Moda Health Plan, Inc. and Select Health list Maria Teresa Sirucek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maria Teresa Sirucek was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.