MR. GABRIEL J SIDOR
NPI 1790473569
Physician Assistant - Medical in Muskegon, MI

Active since April 28, 2023PECOS EnrolledAccepts Medicare Assignment
1500 E SHERMAN BLVD, MUSKEGON, MI 49444(231) 672-3883(231) 672-3973 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gabriel J Sidor NPPES

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

MR. GABRIEL J SIDOR (NPI 1790473569) is an individual medical provider in Muskegon, Michigan, licensed in Michigan (5601012514) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and maintains a secondary practice location in Bear Lake.

NPPES Registry Identity

NPI1790473569
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. GABRIEL J SIDOR
Location Address1500 E SHERMAN BLVDMuskegon, MI 49444-1849
Mailing Address6348 Spruce Ridge RdBear Lake, MI 49614-9703 · (231) 383-1225
Fax(231) 672-3973
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 28, 2023
Last NPPES UpdateJuly 21, 2025
NPPES CertifiedJuly 21, 2025
NPI 1790473569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601012514
1500 E SHERMAN BLVD, Muskegon, MI 49444

Secondary Practice Location 1

Location 16348 Spruce Ridge RdBear Lake, MI 49614-9703 · Phone (231) 383-1225

Accepted Insurance

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

Mr. Gabriel J Sidor 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 ID9537606629
PECOS Enrollment IDI20240807001885
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.

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

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.

Hospitalist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Internal Medicine
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Student in an Organized Health Care Education/Training Program
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Emergency Medicine
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Pharmacist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Pharmacist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Hospitalist
1500 E SHERMAN BLVD
MUSKEGON, MI 49444
Anesthesiology
1500 E SHERMAN BLVD
MUSKEGON, MI 49444

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 Gabriel Sidor's NPI number?

The NPI number for Gabriel Sidor is 1790473569. It was assigned to this individual provider in the NPPES registry on April 28, 2023.

Where is Gabriel Sidor located?

Gabriel Sidor practices at 1500 E Sherman Blvd, Muskegon, MI 49444. The listed phone number is (231) 672-3883.

What is Gabriel Sidor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gabriel Sidor enrolled in Medicare?

Yes. Gabriel Sidor 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.

What insurance does Gabriel Sidor accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Gabriel Sidor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gabriel Sidor affiliated with any hospitals?

According to CMS data, Gabriel Sidor is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Gabriel Sidor was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.