ANDREW TERRY SIDERIS MD
NPI 1215427224
Radiology - Vascular & Interventional Radiology in Eden Prairie, MN

Q: What is Andrew Sideris's NPI number?

The NPI number for Andrew Sideris is 1215427224. It was assigned to this individual provider in the NPPES registry on May 15, 2018.

Q: What is Andrew Sideris's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Sideris was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since May 15, 2018PECOS EnrolledAccepts Medicare Assignment

11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344(952) 595-1100 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, May 15, 2018 (2 updates tracked since 2018).

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About Andrew Terry Sideris Md NPPES

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

ANDREW TERRY SIDERIS MD (NPI 1215427224) is an individual vascular & interventional radiology provider in Eden Prairie, Minnesota, licensed in New York (332740) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1215427224

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameANDREW TERRY SIDERISCredential: MD

Location Address11995 SINGLETREE LN STE 500Eden Prairie, MN 55344-5349

Mailing Address1401 Lavaca St Unit 167Austin, TX 78701-1634

Phone(952) 595-1100

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 2019

Enumeration DateMay 15, 2018

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1215427224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in NY · 332740

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 332740 (NY), 1021420 (MA)

11995 SINGLETREE LN STE 500, Eden Prairie, MN 55344

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Secondary Practice Location 1

Location 1680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Terry Sideris Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092065185

PECOS Enrollment IDI20250714001564

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220052

Location680 Center StreetBrockton, MA 02302 · Plymouth County

Emergency services Birthing friendly

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310047

Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

NORNA L. KARP M.D.

Radiology (Diagnostic Radiology)