ALEXANDER GEORGE SIDHOM MD
NPI 1396420717
Student in an Organized Health Care Education/Training Program in Trinity, FL

Q: What is Alexander Sidhom's NPI number?

The NPI number for Alexander Sidhom is 1396420717. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Q: What is Alexander Sidhom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alexander Sidhom was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 21, 2023PECOS Enrolled

9330 STATE ROAD 54, TRINITY, FL 34655(727) 858-9589 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Alexander George Sidhom Md NPPES

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

ALEXANDER GEORGE SIDHOM MD (NPI 1396420717) is an individual student in an organized health care education/training program in Trinity, Florida and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396420717

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameALEXANDER GEORGE SIDHOMCredential: MD

Location Address9330 STATE ROAD 54Trinity, FL 34655-1808

Mailing Address9330 State Road 54Trinity, FL 34655-1808 · (727) 858-9589

Phone(727) 858-9589

Sole ProprietorYes

Enumeration DateJune 21, 2023

NPPES CertifiedJune 21, 2023

✔ NPI 1396420717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9330 STATE ROAD 54, Trinity, FL 34655

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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 (PECOS)

Alexander George Sidhom Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. KENNY HERNANDEZ MD

Internal Medicine