Individual provider Active NPI

Tharmalingam Sivendran, M.D.

  • Specialist
  • Gettysburg, PA
National Provider Identifier
1225038631
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD022496 Issued in PA
Practice address
455 S Washington St
Suite 24
Gettysburg, PA 17325-2516
Phone
(717) 359-9159
Fax
(717) 359-7225
NPI assigned
Jul 28, 2005
Last updated
Jul 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD022496 PA Primary

Addresses

Primary practice location

455 S Washington St
Suite 24
Gettysburg, PA 17325-2516

Mailing address

455 S Washington St
Suite 24
Gettysburg, PA 17325-2516
Phone (717) 359-9159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110708000296 PA Practitioner - Ophthalmology 9830212505 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022496PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gettysburg Ophthalmology Associates PC CurrentSince Oct 31, 1979 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

455 S Washington St
Ste 24
Gettysburg, PA 17325
Phone (717) 334-8141

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1225038631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S WASHINGTON ST",
            "address_2": "SUITE 24",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252516",
            "telephone_number": "717-359-9159",
            "fax_number": "717-359-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S WASHINGTON ST",
            "address_2": "SUITE 24",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252516",
            "telephone_number": "717-359-9159",
            "fax_number": "717-359-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVENDRAN",
        "first_name": "THARMALINGAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD022496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.