Doctor profile · Federal record
Dr. Ryan Sidebottom, FNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Phoenix, AZ
- NPI 1104298090
- Accepts Medicare
- 11 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1919 E Thomas RD
Phoenix, AZ 850167710
(602) 933-0985
fax (602) 933-2442 - Mailing address
-
3200 E Camelback RD Ste 250
Phoenix, AZ 850182327
Credentials & registration
- NPI registered
- October 2015 — 11 yrs on file
- Profile last updated
- March 27, 2018
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Arizona #AP8251
- Medicaid
- AZ #075841
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104298090. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$65
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Baxter Healthcare | 2 | $37.44 | |
| Digestive Care, INC. | 1 | $27.92 |
By nature of payment
Frequently asked questions
What is Dr. Ryan Sidebottom's medical specialty?
Dr. Ryan Sidebottom practices Family Nurse Practitioner in Phoenix, AZ.
Where does Dr. Ryan Sidebottom practice?
Dr. Ryan Sidebottom practices at 1919 E Thomas RD, Phoenix, AZ 850167710. Office phone: 6029330985.
What is Dr. Ryan Sidebottom's NPI?
Dr. Ryan Sidebottom's National Provider Identifier (NPI) is 1104298090, issued by NPPES.
Does Dr. Ryan Sidebottom accept Medicare assignment?
Yes. Dr. Ryan Sidebottom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.