Individual provider Active NPI

Usha Sivakumar, M.D.

  • Internal Medicine Physician
  • Frederick, MD
National Provider Identifier
1124001540
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D82249 Issued in MD
Practice address
141 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4509
Phone
(301) 228-9123
Fax
(855) 760-5009
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D82249 MD Primary

Addresses

Primary practice location

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

Mailing address

1932 Sycamore Spring CT
Cooksville, MD 21723-9304
Phone (724) 575-0126

Other practice location 1

915 Toll House Ave Ste 309
Frederick, MD 21701-5912
Phone (301) 228-9123

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address usha.sivakumar.1@19153.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170619001083 MD Practitioner - Internal Medicine 4486730777 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

141 Thomas Johnson Dr
Suite 100
Frederick, MD 21702-4509
Phone (301) 228-9123

187 Thomas Johnson Dr
Frederick, MD 21702-4503

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Frederick Health Home Care Home health agency, Frederick, MD, CCN 217034
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Homewood Living Frederick Nursing home, Frederick, MD, CCN 215245

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D82249MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC Internal Medicine Current Accepting new patients
Privia Medical Group, LLC Internal Medicine Current Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Mar 6, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 25, 2024 Accepting new patients
Menocal Medical Services PA Current Accepting new patients
Usha Sivakumar MD LLC Internal Medicine CurrentSince Mar 22, 2019 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Mar 25, 2024 Accepting new patients
Med Health Services Management, LP PastSince Jan 1, 2003 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

915 Toll House Ave
Ste 309
Frederick, MD 21701
Phone (301) 228-9123

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

141 Thomas Johnson Dr
Ste 100
Frederick, MD 21702
Phone (301) 228-9123

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: usha.sivakumar.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19153/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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 3

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1124001540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 SYCAMORE SPRING CT",
            "city": "COOKSVILLE",
            "state": "MD",
            "postal_code": "217239304",
            "telephone_number": "724-575-0126"
        },
        {
            "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": [
        {
            "address_1": "915 Toll House Ave Ste 309",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217015912",
            "country_code": "US",
            "telephone_number": "301-228-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVAKUMAR",
        "first_name": "USHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D82249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "usha.sivakumar.1@19153.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "141 Thomas Johnson Dr Ste 100",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.