MARK S. SICILIO M.D. – NPI #1477514149
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MARK SICILIO is a physician located in BRYAN, TX. NPPES has assigned the NPI number 1477514149 to MARK SICILIO on March 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Jul 15, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARK SICILIO below.

NPI Profile for
MARK S. SICILIO

NPI Number
1477514149
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MARK S. SICILIO
Credentials
M.D.
Primary location
2900 E 29TH ST STE 200
BRYAN, TX 77802-2623
Phone: (979) 776-8440 Fax: (877) 601-5854
Mailing address
2900 E 29TH ST STE 100
BRYAN, TX 77802-2623
Phone: (979) 776-8440 Fax: (877) 601-5854
Sole Proprietor
No
Updated
Certification Date
Jul 15, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARK SICILIO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDTX84E416
OTHERCSHCNTX1303125-03
OTHERRR/MEDICARETX370017626
MEDICAIDTX130312513
MEDICAIDTX1303125-02
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
TX G0115

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.