Individual provider Active NPI

Siyamek Neragi-Miandoab, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Providence, RI
National Provider Identifier
1053676809
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD19723 Issued in RI
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

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1053676809MedicaidNY
3094855MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, MA, RI, MD5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20121203000561 NY Practitioner - Thoracic Surgery 4789836487 Reassigns benefits to 5 organizations
I20211115002149 PA Practitioner - Thoracic Surgery 4789836487 Reassigns benefits to 2 organizations
I20220805000732 MA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 4789836487 Reassigns benefits to 2 organizations
I20240412003699 RI Practitioner - Thoracic SurgeryPractitioner - Cardiovascular Disease (Cardiology) 4789836487 Reassigns benefits to 2 organizations
I20251210000436 MD Practitioner - Cardiac Surgery 4789836487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

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 Hospital, Hyannis, MA, CCN 220012
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 30, 2023 Accepting new patients
University Cardiovascular Surgical Associates Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Mar 4, 2024 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Lifespan Physician Group, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 1, 2025 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Nov 26, 2025 Accepting new patients
St. Joseph Medical Group CurrentSince Dec 24, 2025 Accepting new patients
St. Joseph Medical Group Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 24, 2025 Accepting new patients
Albany Medical College CurrentSince Jul 30, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Oct 11, 2012 Accepting new patients
Dubois Regional Medical Center CurrentSince Oct 7, 2021 Accepting new patients
Albany Medical College CurrentSince Jul 30, 2023 Accepting new patients
New York University CurrentSince Dec 15, 2018 Accepting new patients
New York University CurrentSince Dec 15, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Oct 11, 2012 Accepting new patients
Saint Vincent Physician Services, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Apr 21, 2022 Accepting new patients
Upmc Western Maryland Health Services, LLC Current Accepting new patients
Upmc Western Maryland Health Services, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 26, 2025 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 10, 2018 Accepting new patients
Dubois Regional Medical Center Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 7, 2021 Accepting new patients
Albany Medical College Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Aug 10, 2018 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

  • Direct secure messaging: sneragimiandoab27798@albanymed.direct-ci.com
  • Direct secure messaging: 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.

View all 22

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.