DOUGLAS RYAN SIDELL MD
NPI 1629229836
Otolaryngology - Pediatric Otolaryngology in Palo Alto, CA

Q: What is Douglas Sidell's NPI number?

The NPI number for Douglas Sidell is 1629229836. It was assigned to this individual provider in the NPPES registry on October 7, 2008. The provider is also known as Doug Ryan Sidell MD.

Q: What is Douglas Sidell's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Sidell was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 07, 2008PECOS EnrolledAccepts Medicare Assignment

725 WELCH RD, PALO ALTO, CA 94304(650) 497-8000 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2024, Feb 11, 2020 (2 updates tracked since 2020).

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About Douglas Ryan Sidell Md NPPES

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

DOUGLAS RYAN SIDELL MD (NPI 1629229836) is an individual pediatric otolaryngology provider in Palo Alto, California, licensed in California (A107296) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2007).

NPPES Registry Identity

NPI1629229836

Entity TypeIndividualMale

Primary Taxonomy207YP0228X

Provider Legal NameDOUGLAS RYAN SIDELLCredential: MD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 497-8000

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 2007

Enumeration DateOctober 7, 2008

Last NPPES UpdateApril 29, 20242 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1629229836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

License✔ Licensed in CA · A107296

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License A107296 (CA)

725 WELCH RD, Palo Alto, CA 94304

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Other Names 1

Other Name (5)Doug Ryan Sidell Md

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

Douglas Ryan Sidell 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 ID1355561572

PECOS Enrollment IDI20141009001517

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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)