ALEXANDER MICHAEL SIDOR (MD) – Vascular & Interventional Radiology Physician, NPI 1104315316
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
506 INTERVENTIONAL RADIOLOGY in FL
Provider Addresses for ALEXANDER MICHAEL SIDOR (MD)
1417 LAKELAND HILLS BLVD STE 102
LAKELAND, FL 338053200
Phone: (863) 577-0316
Type: Location
Davis Boulevard, Davis Islands, Tampa, Hillsborough County, Florida, 33606, United States
TAMPA, FL 336063438
Phone: (813) 259-8515
Type: Location
35 KINGSTON RD
MEDIA, PA 190631850
Phone: (484) 574-7638
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 30 Open Payments records for all available years, with a total value of $1,918.
Total Amount is formed as General ($1,918) + Research ($0) + Ownership ($0) = $1,918.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Inari Medical, Inc. ($763).
Total Amount
$1,918
General + Research + Ownership
Payments
30
Total payment records
General Amount
$1,918
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inari Medical, Inc. | $763 |
| Boston Scientific Corporation | $744 |
| MicroVention, Inc. | $130 |
| Stryker Corporation | $83 |
| AngioDynamics, Inc. | $60 |
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: 2020-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200716003233 | I | Interventional Radiology | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL |
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