Siva Chiranjeevi, MD
Individual provider Active NPI Cardiovascular Disease Physician · Braselton, GA
NPI 1023405347 · NPPES record last updated Dec 2, 2022
Key facts
- NPI
- 1023405347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 92794 (GA)
- Practice address
- 1404 River PL Ste 501
Braselton, GA 30517-5600 - Phone
- (770) 534-2020
- NPI assigned
- Apr 24, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgia Heart Institute LLC
Practice addresses (Care Compare)
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 534-2020
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Mountain Lakes Medical Center
- Northeast Georgia Medical Center Habersham
- Northeast Georgia Medical Center Lumpkin
- Union General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.46 of 100
- Quality
- 85.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221215000604 | GA | Practitioner - Cardiovascular Disease (Cardiology) | 6103177126 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008443 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Heart Institute LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Northeast Georgia Heart Center | Cardiovascular Disease | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians, LLC | Internal Medicine | Past |
Accepting new patients |
Locations
1404 River Pl
Ste 501
Braselton, GA 30517
Phone (770) 212-3268
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
200 S Enota Dr NE
Ste 200
Gainesville, GA 30501
Phone (770) 534-0991
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 008443 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 92794 | GA | Yes |
Addresses
Primary practice location
1404 River PL Ste 501
Braselton, GA 30517-5600
Mailing address
200 S Enota Dr NE Ste 200
Gainesville, GA 30501-3466
Phone (770) 534-2020
Other practice location 1
764 Pine St
Macon, GA 31201
Phone (478) 633-1721
Other providers in Braselton, GA
- Chateau Foot and Ankle Center, LLC
- Chateau Spinal Rehab
- Jeh-Wei Cheng
- Ken Kai Cheng
- Mary Lynn Epsten Chillemi
- Lucy Warner Choi
- Seonah Choi
- Melissa Newkam Clark
- Clarkson Optometry Georgia Inc
- Classic EMS Inc
All providers in Braselton, GA · Cardiovascular Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.