Douglas Mitchell Sides, MD - Medicare Interventional Radiology in Hilo, HI

Douglas Mitchell Sides, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Hilo, Hawaii. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice California Imaging Institute Medical Group Inc, Central Valley Community Medical Imaging and his current practice location is 688 Kinoole St, Suite 103, Hilo, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 935-1825.

Douglas Mitchell Sides is licensed to practice in Nevada (license number 10716) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144228255.

Contact Information

Douglas Mitchell Sides, MD
688 Kinoole St, Suite 103,
Hilo, HI 96720
(808) 935-1825
(903) 663-7394



Physician's Profile

Full NameDouglas Mitchell Sides
GenderMale
SpecialityInterventional Radiology
Experience33 Years
Location688 Kinoole St, Hilo, Hawaii
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas Mitchell Sides attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1991
  NPI Data:
  • NPI Number: 1144228255
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 11/08/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1153227111
  • Enrollment ID: I20031210000433

Medical Identifiers

Medical identifiers for Douglas Mitchell Sides such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144228255NPI-NPPES
905838MedicaidAZ
CC5535OtherNVBLUE
100502411MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology G76456 (California)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology G76456 (California)Secondary
2085R0202XRadiology - Diagnostic Radiology 10716 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clovis Community Medical CenterClovis, CAHospital
Community Regional Medical CenterFresno, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
California Imaging Institute Medical Group Inc195132529929
Central Valley Community Medical Imaging579967987474

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Douglas Mitchell Sides allows following entities to bill medicare on his behalf.
Entity NameCentral Valley Community Medical Imaging
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376637264
PECOS PAC ID: 5799679874
Enrollment ID: O20040210000681

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Entity NameCalifornia Imaging Institute Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497764468
PECOS PAC ID: 1951325299
Enrollment ID: O20060125000531

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Douglas Mitchell Sides is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Douglas Mitchell Sides, MD
Po Box 30077,
Salt Lake City, UT 84130-0077

Ph: (702) 477-0772
Douglas Mitchell Sides, MD
688 Kinoole St, Suite 103,
Hilo, HI 96720

Ph: (808) 935-1825

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Radiology Doctors in Hilo, HI

Manfred Tejerina, DO
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 688 Kinoole St Ste 103, Hilo, HI 96720
Phone: 808-969-8010    Fax: 903-663-7394
Dr. Michael Jt Seu, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 670 Ponahawai St, #110, Hilo, HI 96720
Phone: 808-933-2540    Fax: 808-935-5207
Dr. David W Camacho, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 670 Ponahawai St, #103, Hilo, HI 96720
Phone: 808-933-2540    Fax: 808-935-5207
Dr. Ming Y Peng, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1190 Waianuenue St, Hilo Medical Center, Hilo, HI 96720
Phone: 808-974-6841    Fax: 808-935-1889
Dr. Scott R Grosskreutz, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 82 Puuhonu Pl, #102, Hilo, HI 96720
Phone: 808-961-4746    Fax: 808-933-2532
John L Wade, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 688 Kinoole St Ste 103, Hilo, HI 96720
Phone: 808-969-8010    Fax: 903-663-7394

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