Individual provider Active NPI

Suryanarayana M Siram, MD

  • Trauma Surgery Physician
  • Washington, DC
National Provider Identifier
1093818965
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
MD7874 Issued in DC
Practice address
2041 Georgia Nwave
Washington, DC 20060-0001
Phone
(202) 865-3785
Fax
(202) 865-3131
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X MD7874 DC Primary

Addresses

Primary practice location

2041 Georgia Nwave
Washington, DC 20060-0001

Mailing address

2041 Georgia Ave NW Tower 6101
Washington, DC 20060-0001

Other identifiers 3

IdentifierTypeStateIssuer
029937100MedicaidDC
435271800MedicaidMD
010020662MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080926000477 DC Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 9133296528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard UniversityGroup PAC ID 0941109565, 182 clinicians

Practice addresses (Care Compare)

2041 Georgia Ave NW
Washington, DC 20060-0001

2041 Georgia NW Ave
Washington, DC 20060-0001
Phone (202) 865-6679

2101 Medical Park Dr
Suite 305
Silver Spring, MD 20902-4053
Phone (301) 754-0833

Hospital & facility affiliations

  • Howard University Hospital Corp Hospital, Washington, DC, CCN 090003

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Surgeons, LLC CurrentSince Dec 15, 2017 Accepting new patients
Howard University CurrentSince Jan 1, 2014 Accepting new patients
Howard University Hospital Corp Past Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
#4B15
Washington, DC 20060
Phone (202) 865-1285

2041 Georgia Ave NW
#6101
Washington, DC 20060

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

8630 Fenton St
Ste 122
Silver Spring, MD 20910
Phone (301) 588-0057

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1093818965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW TOWER 6101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA NWAVE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-3785",
            "fax_number": "202-865-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRAM",
        "first_name": "SURYANARAYANA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "DC",
            "license": "MD7874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029937100",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435271800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010020662",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.