ELIZABETH SIACUNCO (MD) – Emergency Medicine Physician, NPI 1104355064

ELIZABETH SIACUNCO (MD) is a healthcare provider. based in Bakersfield, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A159671 (CA). The NPI Number for ELIZABETH SIACUNCO (MD) is 1104355064

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH SIACUNCO (MD)
NPI
1104355064
Phone
Not provided
Address
1700 MOUNT VERNON AVE
Enumeration Date
5 June 2017
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
9407631200
Graduation Year
2017 (9 years ago)
PAC ID
0941604482
Group Practice PAC ID
7012139314
Professional Enrollment ID
I20210831001240
Address ID
TX763014300WI1600XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

5,790 EMERGENCY MEDICINE in CA

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Provider Addresses for ELIZABETH SIACUNCO (MD)

  • Mount Vernon Avenue, Bakersfield, Kern County, California, 93307, United States

    BAKERSFIELD, CA 933064018

    Phone:

    Type: Mailing

  • 39000 BOB HOPE DR

    RANCHO MIRAGE, CA 922703221

    Phone: (760) 340-3911

    Fax: (760) 773-1481

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210805003041IEmergency MedicineCATBD
I20210831001240IEmergency MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making437414$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only358327$0
99291Critical care, first 30-74 minutes132129$0
99284Emergency department visit with moderate level of medical decision making9796$0
View full utilization report →

Insurance plans in this area (ZIP 93306)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012139314View full group profile
NameSpecialtyState
Emergency MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Emergency MedicineMI
Emergency MedicineTX
-TX
-TX
Emergency MedicineNY
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for ELIZABETH SIACUNCO (MD)?
Save NPI 1104355064 if you need a stable reference for ELIZABETH SIACUNCO (MD).
Is ELIZABETH SIACUNCO (MD) currently active in the NPI registry?
CMS-published data lists ELIZABETH SIACUNCO (MD) as an active registrant.
Does ELIZABETH SIACUNCO (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for ELIZABETH SIACUNCO (MD). Clinical services aligned with this taxonomy classification.
Where does public data place ELIZABETH SIACUNCO (MD)?
The snapshot lists Bakersfield, California for ELIZABETH SIACUNCO (MD); download NPPES for the complete set.
How can I contact ELIZABETH SIACUNCO (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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