Look up the most recent NPI and PECOS records

Sidney Mirgati

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Sidney Mirgati is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1306587605
Provider Type
Individual
Full Name
Mirgati, Sidney
Credential
MD

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/2/2022
Last Updated
6/14/2023

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Mailing Location

3249 Oak Park Ave, Berwyn, IL 60402-3429

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 125.080431 Illinois
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 125.080431 Illinois
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Sidney Mirgati

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Shaikh, Nida

Olivieri, John Fredrick

Chu, Stanley Hoyin

Demos, Terrence

Mallik, Atul K

Schieke, Moira Ferrier

Edwards, Teresa Michelle

Chen, William Jason

Bermudez, Dayana Carolina

Kaufman, Robert Allen