Individual provider Active NPI

Anita Sivam, D.O.

  • Allergy & Immunology Physician
  • Carmel, IN
National Provider Identifier
1134547037
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
02005605A Issued in IN
Practice address
10255 Commerce Dr Ste 212
Carmel, IN 46032-7433
Phone
(317) 663-9420
Fax
(317) 663-9421
NPI assigned
Mar 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 02005605A IN Primary

Addresses

Primary practice location

10255 Commerce Dr Ste 212
Carmel, IN 46032-7433

Mailing address

10255 Commerce Dr Ste 212
Carmel, IN 46032-7433
Phone (317) 663-9420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 20, 2026 through Jan 20, 2028

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 W Jefferson St
Louisville, KY 40202-2881

9800 Shelbyville Rd
Suite 220
Louisville, KY 40223-2992

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02005605AINMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1134547037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10255 COMMERCE DR STE 212",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327433",
            "telephone_number": "317-663-9420",
            "fax_number": "317-663-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10255 COMMERCE DR STE 212",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327433",
            "telephone_number": "317-663-9420",
            "fax_number": "317-663-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAM",
        "first_name": "ANITA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IN",
            "license": "02005605A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.