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MICHAEL JEFFREY SIDES
NPI 1861295859
Student in an Organized Health Care Education/Training Program in Lafayette, LA

Active since March 27, 2025PECOS Enrolled
2390 W CONGRESS ST, LAFAYETTE, LA 70506(337) 261-6252 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Jeffrey Sides NPPES

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

MICHAEL JEFFREY SIDES (NPI 1861295859) is an individual student in an organized health care education/training program in Lafayette, Louisiana and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861295859
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL JEFFREY SIDES
Location Address2390 W CONGRESS STLafayette, LA 70506-4205
Mailing Address105 Lodge Pole CloseLafayette, LA 70508
Phone(337) 261-6252
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 27, 2025
✔ NPI 1861295859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2390 W CONGRESS ST, Lafayette, LA 70506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Jeffrey Sides 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.

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.

ALICIA RUDDOCK ROURK RD, LDN
Dietitian, Registered
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6113
LEZETTE G. VIENNE FNP
Nurse Practitioner
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6000
DR. SHEUNG MAN ALEXANDER SIN M.D.
Family Medicine (Sports Medicine)
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (615) 322-5000
DR. RONALD TYLER HEBERT MD
Family Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6690
CELIA MARIE THIBODEAUX PT
Physical Therapist
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6700
CASSIE CLARK
Internal Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6000
MONA ANN HENRY
Pharmacy Technician
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 261-6239
CHAD JOSEPH MATHEWS MD
Family Medicine
2390 W CONGRESS ST
LAFAYETTE, LA 70506
Lafayette Parish (337) 288-8891

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 Michael Sides's NPI number?

The NPI number for Michael Sides is 1861295859. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Michael Sides located?

Michael Sides practices at 2390 W Congress St, Lafayette, LA 70506. The listed phone number is (337) 261-6252.

What is Michael Sides's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Sides enrolled in Medicare?

Yes. Michael Sides is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Sides was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.