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Dr. Mark S. Sicilio , MD

Pediatrics β€’ Bryan, TX

Active NPI 1477514149 Individual Practitioner Male Practitioner
Practice location in NPPES

2900 E 29th St Ste 200
Bryan, TX 778022623

Call 9797768440 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2900 E 29th St Ste 200

Bryan, TX 778022623

Telephone 9797768440
Fax 8776015854
Organization at the Same NPPES Address or Phone
Texas A&m University System Health Science Center Facility NPI 1063699312

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bryan and Texas

5 active clinicians are listed under Pediatrics with a practice address in Bryan, TX (5,642 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-07-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX G0115

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
130312513 (TX)
Medicaid ID
1303125-02 (TX)
Other Identifier Blue Shield
84E416 (TX)
Other Identifier Rr/medicare
370017626 (TX)
Other Identifier Cshcn
1303125-03 (TX)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

30 listed
Dr. Rae Adams , MD

Family Medicine

NPI 1508019001

Doctor of Medicine (M.D.)

NPI 1083996177

Doctor of Medicine (M.D.)

NPI 1750438545

Doctor of Medicine (M.D.), Master of Public Health

Dr. Jim Chung , MD

Psychiatry & Neurology - Psychiatry

NPI 1750764460

Doctor of Medicine (M.D.)

Mason Danna

Family Medicine

NPI 1467157123
Dr. Nancy Dickey , MD

Family Medicine

NPI 1932215258

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 15, 2020

Registered at 2900 E 29TH ST STE 200, BRYAN, TX 778022623 (Tel: 9797768440)

πŸ“
Updated Business Mailing Address July 15, 2020

Registered at 2900 E 29TH ST STE 100, BRYAN, TX 778022623 (Tel: 9797768440)

βœ…
NPI Profile Active February 01, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 01, 2016

Registered at 2900 EAST 29TH STREET, SUITE 200, BRYAN, TX 778022622 (Tel: 9797768440)

πŸ“
Business Mailing Address (Initial Record) February 01, 2016

Registered at 2900 EAST 29TH STREET, SUITE 200, BRYAN, TX 778022622 (Tel: 9797768440)

πŸ‘€
Provider Name / Credentials (Initial Record) February 01, 2016

Recorded as MARK SICILIO, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2016

Pediatrics (license number reported to NPPES: TX G0115)

🟒
Initial NPI Registration & Enumeration March 31, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477514149
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2006
Last Update: July 15, 2020
Sole Proprietor: No

Mailing Address

2900 E 29th St Ste 100

Bryan, TX 778022623

Phone: 9797768440

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.