MASON CHARLES SIFFORD MD
NPI 1962106534
Student in an Organized Health Care Education/Training Program in Kansas City, MO

Active since March 28, 2023PECOS Enrolled
2301 HOLMES ST, KANSAS CITY, MO 64108(816) 404-0886 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mason Charles Sifford Md NPPES

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

MASON CHARLES SIFFORD MD (NPI 1962106534) is an individual student in an organized health care education/training program in Kansas City, Missouri and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962106534
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMASON CHARLES SIFFORDCredential: MD
Location Address2301 HOLMES STKansas City, MO 64108-2640
Mailing Address2301 Holmes StKansas City, MO 64108-2640 · (816) 404-0886
Sole ProprietorYes
Enumeration DateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
NPI 1962106534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

2301 HOLMES ST, Kansas City, MO 64108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mason Charles Sifford Md 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.

Internal Medicine (Cardiovascular Disease)
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner
2301 HOLMES ST
KANSAS CITY, MO 64108
Orthopaedic Surgery
2301 HOLMES ST
KANSAS CITY, MO 64108
Obstetrics & Gynecology
2301 HOLMES ST
KANSAS CITY, MO 64108
Plastic Surgery
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine (Pulmonary Disease)
2301 HOLMES ST
KANSAS CITY, MO 64108
Internal Medicine (Pulmonary Disease)
2301 HOLMES ST
KANSAS CITY, MO 64108
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962106534, enumerated as an "individual" on March 28, 2023.

The provider is located at 2301 HOLMES ST KANSAS CITY, MO 64108 and the phone number is (816) 404-0886.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.