Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOUGLAS SIDLE MD
NPI 1730179482
Otolaryngology - Facial Plastic Surgery in Chicago, IL

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
676 N SAINT CLAIR ST STE 1200, CHICAGO, IL 60611(312) 695-8182(312) 695-4303 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Apr 7, 2026 (2 updates tracked since 2026).

About Douglas Sidle Md NPPES

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

DOUGLAS SIDLE MD (NPI 1730179482) is an individual facial plastic surgery provider in Chicago, Illinois, licensed in Illinois (036106579) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1999).

NPPES Registry Identity

NPI1730179482
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDOUGLAS SIDLECredential: MD
Location Address676 N SAINT CLAIR ST STE 1200Chicago, IL 60611-3068
Mailing Address676 N Saint Clair St Ste 1200Chicago, IL 60611-3068 · (312) 695-8182 · Fax (312) 695-4303
Fax(312) 695-4303
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1999
Enumeration DateOctober 25, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
NPI 1730179482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License Licensed in IL · 036106579
Definition
An otolaryngologist who specializes in facial plastic surgery.
676 N SAINT CLAIR ST STE 1200, Chicago, IL 60611

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 Sidle 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 ID7517932312
PECOS Enrollment IDI20050902000163
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Otolaryngology
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL 60611
Otolaryngology
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL 60611
Audiologist
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL 60611
Physician Assistant
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL 60611
Physician Assistant
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL 60611
Registered Nurse
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL 60611
Physician Assistant (Medical)
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL 60611
Physician Assistant
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL 60611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Sidle's NPI number?

The NPI number for Douglas Sidle is 1730179482. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Douglas Sidle located?

Douglas Sidle practices at 676 N Saint Clair St Ste 1200, Chicago, IL 60611. The listed phone number is (312) 695-8182.

What is Douglas Sidle's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Douglas Sidle enrolled in Medicare?

Yes. Douglas Sidle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Douglas Sidle affiliated with any hospitals?

According to CMS data, Douglas Sidle is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Sidle was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.