Active NPI
Siyamek Neragi-Miandoab, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD19723
- Practice address
- 593 Eddy St
Providence, RI 02903-4923 - Phone
- (401) 444-5891
- Fax
- (401) 444-8158
- NPI assigned
- Jul 9, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | MD19723 | RI | Primary |
Addresses
Primary practice location
593 Eddy St
Providence, RI 02903-4923
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053676809 | Medicaid | NY | |
| 3094855 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, MA, RI, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27 Park St
Hyannis, MA 02601-5230
Phone (774) 552-6000
593 Eddy St
Providence, RI 02903-4923
Phone (401) 444-4000
Hospital & facility affiliations
- Cape Cod Hospital
- Rhode Island Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| University Cardiovascular Surgical Associates Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Upmc Western Maryland Health Services, LLC | Current | Accepting new patients | |
| St. Joseph Medical Group | Current | Accepting new patients | |
| St. Joseph Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Dubois Regional Medical Center | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Montefiore Medical Center | Current | Accepting new patients | |
| Saint Vincent Physician Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Upmc Western Maryland Health Services, LLC | Current | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Dubois Regional Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients |
Locations
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
123 Summer St
Ste 284N
Worcester, MA 01608
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
111 E 210th St
Bronx, NY 10467
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
130 North St
Walton, NY 13856
Phone (607) 865-6541
100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040
100 Hospital Ave
Ofc
Dubois, PA 15801
145 Hospital Ave
Ste 300
Dubois, PA 15801
Phone (814) 371-4524
2494 Bernville Rd
Ste 201
Reading, PA 19605
Phone (610) 378-2557
2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
593 Eddy St
Providence, RI 02903
2 Dudley St
Ste 360
Providence, RI 02905
Phone (401) 274-7546
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
75 Newman Ave
Ste 100
Rumford, RI 02916
Interoperability endpoints
- sneragimiandoab27798@albanymed.direct-ci.com
- sneragimiandoab680073@nychhc.direct-ci.com
Organizations & group practices 22
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Neuroradiology Physician
- Hyannis, MA
- NPI 1679832364
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Providence, RI
- NPI 1770728024
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Du Bois, PA
- NPI 1982780979
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Family Medicine Physician
- Worcester, MA
- NPI 1013997329
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Family Medicine Physician
- Reading, PA
- NPI 1184754657
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1447976584
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1114984671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1053676809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 ELLENFIELD ST STE 101",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054541",
"telephone_number": "401-444-6779",
"fax_number": "401-444-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034923",
"telephone_number": "401-444-5891",
"fax_number": "401-444-8158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NERAGI-MIANDOAB",
"first_name": "SIYAMEK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-09",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "RI",
"license": "MD19723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053676809",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3094855",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.