DR. LARRY STEVEN SIDAWAY DO
NPI 1841245743
Internal Medicine - Cardiovascular Disease in Fargo, ND

Q: What is Larry Sidaway's NPI number?

The NPI number for Larry Sidaway is 1841245743. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Larry Sidaway's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Sidaway was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 23, 2006PECOS Enrolled

3000 32ND AVENUE SOUTH, ESSENTIA HEALTH 32ND AVENUE CLINIC, FARGO, ND 58103(701) 364-8000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Larry Steven Sidaway Do NPPES

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

DR. LARRY STEVEN SIDAWAY DO (NPI 1841245743) is an individual cardiovascular disease provider in Fargo, North Dakota, licensed in North Dakota (6614) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841245743

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. LARRY STEVEN SIDAWAYCredential: DO

Location Address3000 32ND AVENUE SOUTH, ESSENTIA HEALTH 32ND AVENUE CLINICFargo, ND 58103-6132

Mailing Address400 East Third Street, Essentia Health Duluth Clinic Mcl2credDuluth, MN 55805-1951 · (218) 786-1183

Phone(701) 364-8000

Sole ProprietorNo

Enumeration DateMay 23, 2006

Last NPPES UpdateJuly 21, 2022

✔ NPI 1841245743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in ND · 6614

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3000 32ND AVENUE SOUTH, Fargo, ND 58103

Open in Google Maps ↗

Other Identifiers 8

Other4303SD · Dakotacare

Other931451029047Preferred One

Other0005335SD · Sd Bcbs

Other36047SIMN · Mn Bcbs - Plan 91057no

Medicaid0501643IA

Medicaid41986380MN

Medicaid6003420SD

Other36623Health Partners

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Larry Steven Sidaway Do 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 58103 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

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTINA K RAUSER-FOLTZ M.D.

Pediatrics (Pediatric Cardiology)

3000 32ND AVENUE SOUTH
FARGO, ND 58103

Cass County (701) 364-8000

SARAH J. MCCULLOUGH M.D.

Emergency Medicine

3000 32ND AVENUE SOUTH
FARGO, ND 58103

Cass County (701) 364-8000

NIKOLAI TOLKACHEV

Hospitalist

3000 32ND AVENUE SOUTH
FARGO, ND 58103

Cass County (701) 364-8000

THOMAS R MAGILL MD

Emergency Medicine

3000 32ND AVENUE SOUTH
FARGO, ND 58103

Cass County (701) 364-8000

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 Larry Sidaway's NPI number?

The NPI number for Larry Sidaway is 1841245743. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Larry Sidaway located?

Larry Sidaway practices at 3000 32nd Avenue South Essentia Health 32nd Avenue Clinic, Fargo, ND 58103. The listed phone number is (701) 364-8000.

What is Larry Sidaway's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Larry Sidaway enrolled in Medicare?

Yes. Larry Sidaway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Larry Sidaway was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.