KELLY SIUDZINSKI M.D.
NPI 1417906405
Obstetrics & Gynecology in Meridian, ID

Q: What is Kelly Siudzinski's NPI number?

The NPI number for Kelly Siudzinski is 1417906405. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Q: What is Kelly Siudzinski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Siudzinski was last updated on March 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 08, 2006PECOS Enrolled

2273 E GALA ST, SUITE 110, MERIDIAN, ID 83642(208) 994-5700(208) 994-5700 Get Directions Write a Review

NPPES record last updated: March 13, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Siudzinski M.d. NPPES

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

KELLY SIUDZINSKI M.D. (NPI 1417906405) is an individual obstetrics & gynecology provider in Meridian, Idaho, licensed in Idaho (M-9339) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417906405

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELLY SIUDZINSKICredential: M.D.

Location Address2273 E GALA ST, SUITE 110Meridian, ID 83642-7289

Mailing Address2273 E Gala St, Suite 110Meridian, ID 83642-7289 · (208) 994-5700 · Fax (208) 994-5700

Phone(208) 994-5700

Fax(208) 994-5700

Sole ProprietorNo

Enumeration DateMay 8, 2006

Last NPPES UpdateMarch 13, 2013

✔ NPI 1417906405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in ID · M-9339

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2273 E GALA ST, Meridian, ID 83642

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Other Identifiers 1

Medicare UPINI43707ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Siudzinski M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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.

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