Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Sidra Tahseen, DO

Individual provider Internal Medicine Physician · NPI 1861921256

MS. Sidra Tahseen, DO is a Critical Care (Intensivists) in Stony Brook, New York. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2017, 9 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
9
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NV
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-1617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 Shadow Lane, Las Vegas, NV 89106 — (702) 388-8346

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence SL1218 (NV)

Record details

NPI number1861921256
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESMarch 8, 2020
Certification dateMarch 8, 2020
Mailing address101 Nicolls Rd, Stony Brook, NY 11794-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPULMONARY DISEASE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2017 (9 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Stony Brook