DR. PETER SIDHOM (DO) – Anesthesiology Physician, NPI 1003302456
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,323 ANESTHESIOLOGY in MA
Provider Addresses for DR. PETER SIDHOM (DO)
960 MASSACHUSETTS AVE STE 2
BOSTON, MA 021182690
Phone: (617) 414-5405
Type: Mailing
736 Cambridge St
Brighton, MA 021352907
Phone: (508) 427-3000
Type: Location
Roger Williams Medical Center, 825, Chalkstone Avenue, Manton, Providence, Providence County, Rhode Island, 02908, United States
PROVIDENCE, RI 029084728
Phone:
Type: Mailing
GSMC-ANESTHESIA DEPT.
235 NORTH PEARL STREET
BROCKTON, MA 02301
Phone: (508) 427-3000
Type: Location
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: 2022-06-22
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 |
|---|---|---|---|---|
| I20220622001795 | I | Anesthesiology | MA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 14 | 14 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 13 | 12 | $0 |
| 00142 | Anesthesia for lens surgery | 12 | 12 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 12 | 12 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | NJ | |
| - | NY | |
| A N E S T H E S I O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| A N E S T H E S I O L O G Y | MA | |
| A N E S T H E S I O L O G Y | MA | |
| A N E S T H E S I O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | MA | |
| Critical Care (Intensivists) | MA |
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