Individual provider Active NPI

Hari Krishnan Sivanandam, M.D.

  • Pediatrics Physician
  • Mobile, AL
National Provider Identifier
1356571400
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.31875 Issued in AL
Practice address
6908 Providence Park Dr S
Mobile, AL 36695-4600
Phone
(251) 660-3490
Fax
(251) 660-3491
NPI assigned
Jul 23, 2009
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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 NU
Pediatrics Physician 208000000X MD.31875 AL Primary

Addresses

Primary practice location

6908 Providence Park Dr S
Mobile, AL 36695-4600

Mailing address

PO Box 18981
Belfast, ME 04915-4084
Phone (251) 266-3361

Other practice location 1

1700 Center St
Mobile, AL 36604-3301
Phone (251) 415-1000

Other practice location 2

6701 Airport Blvd
Mobile, AL 36608-6705
Phone (251) 660-3490

Other identifiers 1

IdentifierTypeStateIssuer
203602MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20121017000852 AL Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 4789834250 Reassigns benefits to 6 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Jan 18, 2023 Accepting new patients
University of South Alabama Mitchell Cancer Institute CurrentSince Feb 1, 2018 Accepting new patients
Alabama Providence Healthcare Services CurrentSince Aug 1, 2017 Accepting new patients
University of South Alabama CurrentSince Feb 1, 2018 Accepting new patients
Providence Healthcare Services Current Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients
USA Health Physician Billing Services LLC CurrentSince Oct 1, 2019 Accepting new patients
Alabama Providence Healthcare Services CurrentSince Aug 1, 2017 Accepting new patients
Altapointe Health Systems, Inc. CurrentSince Jan 18, 2023 Accepting new patients
University of South Alabama Pediatrics Current Accepting new patients
USA Health Physician Billing Services LLC Pediatrics CurrentSince Oct 1, 2019 Accepting new patients
USA Health Community Providers LLC Pediatrics CurrentSince Sep 1, 2023 Accepting new patients
Providence Hospital CurrentSince Aug 1, 2017 Accepting new patients
Providence Hospital Current Accepting new patients
Providence Hospital CurrentSince Aug 1, 2017 Accepting new patients
University of South Alabama Current Accepting new patients
University of South Alabama Past Accepting new patients
USA Health HCA Providence Hospital LLC Past Accepting new patients

Locations

1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

2419 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 434-3475

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

2451 University Hospital Dr
Mobile, AL 36617
Phone (251) 471-7000

5721 Usa N Dr
Mobile, AL 36688
Phone (251) 445-9250

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

6701 Airport Blvd
Mobile, AL 36608
Phone (251) 545-4776

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

6908 Providence Park Dr S
Mobile, AL 36695
Phone (251) 660-3490

75 S University Blvd
Unit 6000
Mobile, AL 36608
Phone (251) 660-5555

75 S University Blvd
Unit 6500
Mobile, AL 36608
Phone (251) 445-8282

Interoperability endpoints

  • Direct secure messaging: hari.sivanandam.1@27270.direct.athenahealth.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1356571400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18981",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154084",
            "telephone_number": "251-266-3361",
            "fax_number": "251-266-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6908 PROVIDENCE PARK DR S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954600",
            "telephone_number": "251-660-3490",
            "fax_number": "251-660-3491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Center St",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366043301",
            "country_code": "US",
            "telephone_number": "251-415-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366086705",
            "country_code": "US",
            "telephone_number": "251-660-3490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVANANDAM",
        "first_name": "HARI",
        "middle_name": "KRISHNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "MD.31875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203602",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.