SIDNEY L REDELS (DO) – Family Medicine Physician, NPI 1679562615

SIDNEY L REDELS (DO) is a healthcare provider. based in Longview, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. F4416 (TX). The NPI Number for SIDNEY L REDELS (DO) is 1679562615

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
SIDNEY L REDELS (DO)
NPI
1679562615
Phone
(903) 315-5750
Address
PO BOX 4207
Enumeration Date
20 October 2005
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9033155600
Graduation Year
1979 (47 years ago)
PAC ID
0941284608
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20040617001762
Address ID
TX756042506LO2101XLOOP301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for SIDNEY L REDELS (DO)

  • Longview Post Office, Hillside Road, Longview Shops, Page Moss, Huyton, Liverpool, Liverpool City Region, England, L36 8BJ, United Kingdom

    LONGVIEW, TX 756064207

    Phone: (903) 315-5750

    Type: Mailing

  • PO BOX 846098

    DALLAS, TX 752846098

    Phone: (903) 606-6400

    Type: Mailing

  • 1761, West Loop 281, Longview, Gregg County, Texas, 75604, United States

    LONGVIEW, TX 756042734

    Phone: (903) 297-1733

    Type: Location

  • 1718 S Henderson Blvd

    Kilgore, TX 756623544

    Phone: (903) 983-2110

    Type: Location

  • 700 E Marshall Ave

    Longview, TX 756015580

    Phone: (903) 315-2020

    Type: Location

  • 2101 W Loop 281

    Longview, TX 756042506

    Phone: (903) 315-4180

    Type: Location

  • 705 E Marshall Ave Ste 1002

    Longview, TX 756015660

    Phone: (903) 759-7200

    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: 2004-06-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040617001762IFamily PracticeTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes15696$0
99213Established patient office or other outpatient visit, 20-29 minutes11186$0
71046X-ray of chest, 2 views10197$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6565$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1615$0
View full utilization report →

Insurance plans in this area (ZIP 75606)

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Provider's Procedures

SIDNEY L REDELS (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX73630X-ray of foot, minimum of 3 views1918

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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

Can I cross-check SIDNEY L REDELS (DO) using NPI 1679562615?
NPI 1679562615 belongs to SIDNEY L REDELS (DO); compare other details if you need extra assurance.
Is there an active status for SIDNEY L REDELS (DO)?
For scheduling context, SIDNEY L REDELS (DO) is shown as active in the registry.
What area of care is associated with SIDNEY L REDELS (DO)?
SIDNEY L REDELS (DO)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SIDNEY L REDELS (DO)?
Travel planning: use Longview, Texas as the reference point for SIDNEY L REDELS (DO), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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