NPIMap

Individual provider Active NPI

Devyani Sivakumar, MD

  • Nephrology Physician
  • Providence, RI
National Provider Identifier
1285288308
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD19768 Issued in RI
Practice address
1076 N Main St Ste 3
Providence, RI 02904-5760
Phone
(401) 861-7711
Fax
(401) 421-5710
NPI assigned
Jul 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 280073 MA
Nephrology Physician 207RN0300X MD19768 RI Primary

Addresses

Primary practice location

1076 N Main St Ste 3
Providence, RI 02904-5760

Mailing address

1076 N Main St Ste 3
Providence, RI 02904-5760
Phone (401) 861-7711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20240509002628 RI Practitioner - Nephrology 2062853997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hypertension and Nephrology, Inc.Group PAC ID 4981619558, 5 clinicians

Practice addresses (Care Compare)

1076 N Main St
Providence, RI 02904-5760
Phone (401) 861-7711

Hospital & facility affiliations

  • FMC Pawtucket Dialysis facility, Pawtucket, RI, CCN 412511
  • Fresenius Kidney Care Lincoln Dialysis facility, Lincoln, RI, CCN 412515
  • FMC NNA of Providence Dialysis facility, Providence, RI, CCN 412505
  • Dialysis Center of East Providence Dialysis facility, East Providence, RI, CCN 412512
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009
  • Women & Infants Hospital of Rhode Island Hospital, Providence, RI, CCN 410010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19768RIMDNephrology Physician
280073MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension & Nephrology, Inc. CurrentSince Jul 1, 2024 Accepting new patients

Locations

850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281

1 Commerce St
Lincoln, RI 02865
Phone (401) 793-8500

1076 N Main St
Providence, RI 02904
Phone (401) 273-2460

1076 N Main St
Ste 3
Providence, RI 02904
Phone (401) 861-7711

593 Eddy St
Providence, RI 02903

Interoperability endpoints

  • Direct secure messaging: devyani.sivakumar.1@25334.direct.athenahealth.com

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1285288308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 N MAIN ST STE 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045760",
            "telephone_number": "401-861-7711",
            "fax_number": "401-421-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 N MAIN ST STE 3",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045760",
            "telephone_number": "401-861-7711",
            "fax_number": "401-421-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAKUMAR",
        "first_name": "DEVYANI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-26",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "280073",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "RI",
            "license": "MD19768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.