Usha Sivakumar MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

USHA SIVAKUMAR MD LLC

Doing business as

Sivimed Internal Medicine Assoc
Sivimed Internal Medicine Associates nd Primary care

Practice address

141 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4509

Phone

(301) 228-9123

Fax

(855) 760-5009

NPI assigned

Feb 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Usha Sivakumar, MDNPI 1124001540

Title

Physician

Phone

(301) 228-9123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• SIVIMED INTERNAL MEDICINE ASSOC Doing business as
• Sivimed Internal Medicine Associates nd Primary care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19153/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Usha Sivakumar, M.D.

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1124001540
  Medicare reassignment NPD Authorized official
• Sangita Basnet

  • Family Nurse Practitioner
  • Frederick, MD
  • NPI 1053193193
  Medicare reassignment NPD

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1033676143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024509",
            "telephone_number": "301-228-9123",
            "fax_number": "855-760-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024509",
            "telephone_number": "301-228-9123",
            "fax_number": "855-760-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USHA SIVAKUMAR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "SIVAKUMAR",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-228-9123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "1053193193",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sivimedassoc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "sivimedassoc@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "915 Toll House Ave Ste 309",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217015912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SIVIMED INTERNAL MEDICINE ASSOC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sivimed Internal Medicine Associates nd Primary care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.