Sivaramya Kollipara, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

Q1435 Issued in TX

Practice address

5445 La Sierra Dr Ste 102
Dallas, TX 75231-3464

Phone

(636) 527-9999

NPI assigned

Apr 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 May 29, 2024 through May 29, 2028

Merit-based Incentive Payment System (MIPS)

Final score

83.77 of 100Reported as group

Quality

85.23

Promoting interoperability

85

Improvement activities

40

Cost

73.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Westlake Dermatology of Dallas PLLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1710537782
  NPD
• Pediatric Dermatology of No. TX

  dba Fred E Ghali, MD

  • Pediatric Dermatology Physician
  • Grapevine, TX
  • NPI 1487060679
  NPD (past)

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1295179190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "address_2": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER GME",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794309400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 LA SIERRA DR STE 102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313464",
            "telephone_number": "636-527-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLIPARA",
        "first_name": "SIVARAMYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "Q1435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavithra Kolla
• Jennifer Koller, WHNP
• Pranavi Kolli
• Ramesh Kolli, MD
• Shalini Kolli, MD
• Kenneth R Kollmeyer, MD
• Kim Renee Kolls, R-EEG-T, CNIM
• Rishika Kolluri
• Harold W Kolni, M.D.
• Miriam Kolni, LMFT

• Dermatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.