DR. THERESA C. SIDBERRY M.D.
NPI 1912295973
Pediatrics in Fort Sam Houston, TX

Active since July 12, 2011PECOS Enrolled
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 539-9582(210) 698-7696 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Jan 13, 2021, Sep 17, 2016 (3 updates tracked since 2016).

About Dr. Theresa C. Sidberry M.d. NPPES

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

DR. THERESA C. SIDBERRY M.D. (NPI 1912295973) is an individual pediatrics provider in Fort Sam Houston, Texas, licensed in Texas (N9147) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912295973
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. THERESA C. SIDBERRYCredential: M.D.
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 539-9582
Fax(210) 698-7696
Sole ProprietorNo
Enumeration DateJuly 12, 2011
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1912295973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in TX · N9147
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Other Names 1

Former Name (1)Dr. Theresa C Willis Md

Other Identifiers 2

Medicaid327006801TX
Medicaid327006802TX

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. Theresa C. Sidberry M.d. 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 78234 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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 20

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

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Theresa Sidberry's NPI number?

The NPI number for Theresa Sidberry is 1912295973. It was assigned to this individual provider in the NPPES registry on July 12, 2011. The provider is also known as Dr. Theresa C Willis MD.

Where is Theresa Sidberry located?

Theresa Sidberry practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-9582.

What is Theresa Sidberry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Theresa Sidberry enrolled in Medicare?

Yes. Theresa Sidberry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Sidberry was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.