MEDICARE: ADAM EMMANUEL SIERRA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	S8655	TX
2	2085R0202X	Diagnostic Radiology Physician	A184512	CA

General Provider Information

NPI Number	:	1780172825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM EMMANUEL SIERRA MD

Provider Business Mailing Address
First Line	:	PO BOX 75172
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60675-5172
Country	:	US
Telephone Number	:	800-475-3698
Fax Number	:	706-596-6723

Provider Business Practice Location Address
First Line	:	6065 MONTANA AVE STE A6
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-1837
Country	:	US
Telephone Number	:	915-881-1900
Fax Number	:	706-596-6723

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2018
Last Update Date	:	08/07/2025

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Directions to “ ADAM EMMANUEL SIERRA MD” Practice Location

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