NPIMap

Individual provider Active NPI

Panjini M Sivanna, MD

  • Interventional Pain Medicine Physician
  • Thief River Falls, MN
National Provider Identifier
1013948116
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
32058 Issued in MN
Practice address
3001 Sanford Pkwy
Thief River Falls, MN 56701
Phone
(218) 683-2725
NPI assigned
Jul 6, 2006
Last updated
Mar 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 32058 MN
Interventional Pain Medicine Physician 208VP0014X 32058 MN Primary
Interventional Pain Medicine Physician 208VP0014X 4806 ND

Addresses

Primary practice location

3001 Sanford Pkwy
Thief River Falls, MN 56701

Mailing address

PO Box 2010
Fargo, ND 58122-2484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psivanna2455551@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031209000581 ND Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7315843596 Reassigns benefits to 2 organizations
I20040708000425 MN Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7315843596 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Critical Care (Intensivists), Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanford Health Network NorthGroup PAC ID 8022206663, shared by 16 NPIs, 114 clinicians
Riverview Healthcare AssociationGroup PAC ID 7810806718, 46 clinicians

Practice addresses (Care Compare)

1720 Hwy 59 S
Thief River Falls, MN 56701-4331
Phone (218) 681-4747

300 Main Ave
Suite 200
Fargo, ND 58103-1930
Phone (701) 297-0817

323 S Minnesota St
Crookston, MN 56716-1601
Phone (218) 281-9553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.91 of 100Reported as group
Quality
88.07
Promoting interoperability
100
Improvement activities
40
Cost
74.95

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
90.28
Promoting interoperability
100
Improvement activities
40
Cost
72.7

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network North Current Accepting new patients
Valley Medical Clinic PC Pain Medicine CurrentSince Dec 1, 1999 Accepting new patients
Sanford Medical Center Fargo Interventional Pain Medicine CurrentSince Jul 30, 2018 Accepting new patients
Sanford Health Network North CurrentSince Mar 3, 2018 Accepting new patients
Sanford Health Network North CurrentSince Mar 3, 2018 Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Sanford Medical Center Fargo Interventional Pain Medicine CurrentSince Jul 30, 2018 Accepting new patients
Riverview Healthcare Association CurrentSince Jan 1, 2016 Accepting new patients
Riverview Healthcare Association CurrentSince Jan 1, 2016 Accepting new patients
Riverview Healthcare Association CurrentSince Jan 7, 2026 Accepting new patients
Plains Anesthesia, PLLC PastSince Jan 1, 2017 Accepting new patients
Institute for Low Back Care LLC PastSince May 17, 2004 Accepting new patients
Sanford Health Network North Past Accepting new patients
Prairie St Johns Interventional Pain Medicine Past Accepting new patients
Valley Anesthesia Associates PC PastSince Jul 1, 1997 Accepting new patients
Riverview Healthcare Association Past Accepting new patients

Locations

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

4000 28th Ave S
Moorhead, MN 56560
Phone (701) 234-3200

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240

1711 University Dr S
Fargo, ND 58103
Phone (701) 280-4880

1720 University Dr S
Fargo, ND 58103
Phone (701) 280-4140

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

801 Broadway N
Fargo, ND 58102
Phone (701) 234-2371

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1013948116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2010",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581222484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SANFORD PKWY",
            "city": "THIEF RIVER FALLS",
            "state": "MN",
            "postal_code": "56701",
            "telephone_number": "218-683-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVANNA",
        "first_name": "PANJINI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MN",
            "license": "32058",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MN",
            "license": "32058",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "ND",
            "license": "4806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psivanna2455551@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "3001 Sanford Pkwy",
            "city": "Thief River Falls",
            "state": "MN",
            "country_code": "US",
            "postal_code": "56701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thief River Falls, MN

Sources for this page

Verify at the official NPI Registry.