DR. SIDNEY ALEXANDER SCUDDER M.D.
NPI 1275514648
Specialist in Sacramento, CA

Q: What is Sidney Scudder's NPI number?

The NPI number for Sidney Scudder is 1275514648. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Sidney Scudder's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Sidney Scudder was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment

2279 45TH STREET, SACRAMENTO, CA 95817(916) 734-5959(916) 703-5265 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Sidney Alexander Scudder M.d. NPPES

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

DR. SIDNEY ALEXANDER SCUDDER M.D. (NPI 1275514648) is an individual specialist in Sacramento, California, licensed in California (G49506) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1980).

NPPES Registry Identity

NPI1275514648

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. SIDNEY ALEXANDER SCUDDERCredential: M.D.

Location Address2279 45TH STREETSacramento, CA 95817

Mailing Address2315 Stockton Blvd - Department Of, Naob SuiteSacramento, CA 95817-2201 · (916) 734-3771 · Fax (916) 734-7946

Phone(916) 734-5959

Fax(916) 703-5265

Sole ProprietorNo

Medical School CMSUniversity Of Florida College Of MedicineGraduated 1980

Enumeration DateNovember 10, 2005

Last NPPES UpdateOctober 22, 2020

NPPES CertifiedOctober 22, 2020

✔ NPI 1275514648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G49506

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License G49506 (CA)

2279 45TH STREET, Sacramento, CA 95817

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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

Dr. Sidney Alexander Scudder M.d. 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 ID5799858999

PECOS Enrollment IDI20080722000185

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

30 services12 patients

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.

PAUL R KAESBERG M.D.

Internal Medicine (Hematology & Oncology)