NPIMap

Individual provider Active NPI

Subramanian Sivarajan, M.D.

  • Nephrology Physician
  • Palo Alto, CA
National Provider Identifier
1154310951
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
C53314 Issued in CA
Practice address
795 El Camino Real FL 2
Palo Alto, CA 94301-2302
Phone
(650) 328-8385
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 103776 MO
Nephrology Physician 207RN0300X C53314 CA Primary

Addresses

Primary practice location

795 El Camino Real FL 2
Palo Alto, CA 94301-2302

Mailing address

795 El Camino Real FL 2
Palo Alto, CA 94301-2302
Phone (650) 328-8385

Other practice location 1

325 Distel Cir
Los Altos, CA 94022-1408
Phone (650) 853-6795

Other identifiers 2

IdentifierTypeStateIssuer
206687709MedicaidMO
100150360BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170126001150 CA Practitioner - Nephrology 6002803376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

  • SHC San Carlos Dialysis facility, San Carlos, CA, CCN 052793
  • Sequoia Hospital Hospital, Redwood City, CA, CCN 050197
  • Peninsula Medical Center Hospital, Burlingame, CA, CCN 050007
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C53314CAMDNephrology Physician
103776MOMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Jan 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 9, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Apr 28, 2024 Accepting new patients
Stanford Health Care CurrentSince Jan 1, 2017 Accepting new patients
St. Mary'S Medical Center Past Accepting new patients
North Kansas City Hospital Past Accepting new patients
Ray County Memorial Hospital Past Accepting new patients
Saint Lukes East Hospital Past Accepting new patients
Midwest Division - RMC, LLC Past Accepting new patients
Midwest Division - RBH, LLC Past Accepting new patients
Midwest Division - MMC, LLC Past Accepting new patients
Midwest Division - LSH, LLC Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Midwest Division - LRHC LLC Past Accepting new patients
Centerpoint Medical Center of Independence, LLC Past Accepting new patients
Prime Healthcare Services - Kansas City, LLC Past Accepting new patients
Shawnee Mission Medical Center, Inc. Past Accepting new patients
Sequoia Health Services Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
Fl 2
Palo Alto, CA 94301
Phone (650) 328-8385

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

301 Industrial Rd
San Carlos, CA 94070
Phone (650) 596-4000

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: ssivarajan356897@hisp.ehr.sutterhealth.org
  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

Organizations & group practices 19

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 19

Hospital & facility affiliations 11

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1154310951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 EL CAMINO REAL FL 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012302",
            "telephone_number": "650-328-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 EL CAMINO REAL FL 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012302",
            "telephone_number": "650-328-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Distel Cir",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940221408",
            "country_code": "US",
            "telephone_number": "650-853-6795",
            "fax_number": "816-444-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVARAJAN",
        "first_name": "SUBRAMANIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "103776",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C53314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206687709",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100150360B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.