Individual provider Active NPI

Sivamurthy Kyathari, M.D

  • Hematology & Oncology Physician
  • Green Valley, AZ
National Provider Identifier
1124171533
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
58983 Issued in AZ
Practice address
514 E Whitehouse Canyon Rd Ste 110
Green Valley, AZ 85614-0539
Phone
(520) 689-7030
Fax
(520) 395-9796
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2768 NY
Hematology & Oncology Physician 207RH0003X 24117 WV
Hematology & Oncology Physician 207RH0003X 58983 AZ Primary

Addresses

Primary practice location

514 E Whitehouse Canyon Rd Ste 110
Green Valley, AZ 85614-0539

Mailing address

3945 E Paradise Falls Dr Ste 201
Tucson, AZ 85712-6687
Phone (520) 689-7030

Other practice location 1

121 West Esperanza Blvd
181
Green Valley, AZ 85614
Phone (520) 689-7030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20191213002189 AZ Practitioner - Medical OncologyPractitioner - Hematology/Oncology 9739287814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Blood and Cancer Specialists, PLLCGroup PAC ID 4082957428, 15 clinicians

Practice addresses (Care Compare)

3945 E Paradise Falls Dr
Suite 105
Tucson, AZ 85712-6686
Phone (520) 689-7022

Hospital & facility affiliations

  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085
  • Oro Valley Hospital Hospital, Oro Valley, AZ, CCN 030114
  • St. Mary'S Hospital Hospital, Tucson, AZ, CCN 030010
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2768NYMDAcupuncturist
58983AZMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Blood and Cancer Specialists, PLLC Hematology & Oncology CurrentSince Sep 22, 2019 Accepting new patients
Richmond University Medical Center Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

514 E Whitehouse Canyon Rd
Ste 110
Green Valley, AZ 85614
Phone (520) 625-3230

3945 E Paradise Falls Dr
Ste 105
Tucson, AZ 85712
Phone (520) 689-7022

10390 N La Canada Dr
Ste 150
Tucson, AZ 85737
Phone (520) 276-6047

3945 E Paradise Falls Dr
Ste 201
Tucson, AZ 85712
Phone (520) 290-5888

3700 E Fort Lowell Rd
Ste 130
Tucson, AZ 85716
Phone (520) 325-9718

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 4

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1124171533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 E PARADISE FALLS DR STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126687",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 E WHITEHOUSE CANYON RD STE 110",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140539",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 West Esperanza Blvd",
            "address_2": "181",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "85614",
            "country_code": "US",
            "telephone_number": "520-689-7030",
            "fax_number": "520-395-9796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KYATHARI",
        "first_name": "SIVAMURTHY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2768",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WV",
            "license": "24117",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "58983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.