Siva Rama Krishna Marri, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MD180848 Issued in OR

Practice address

1698 E McAndrews Rd Ste 400
Medford, OR 97504-5590

Phone

(541) 732-7960

NPI assigned

Jul 22, 2010

Last updated

Oct 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OR, TX, IL3 enrollments

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 3

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists)

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sound Physicians Intensivists of Washington PLLCGroup PAC ID 5395018808, 81 clinicians

Usacs Critical Care Medicine Services of Texas PLLCGroup PAC ID 1153681796, 74 clinicians

Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians

Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Providence Health and Services OregonGroup PAC ID 5294623245, 166 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Williamson Hospital, Round Rock, TX, CCN 670041
• Ascension Seton Cedar Park Hospital, Cedar Park, TX, CCN 670043
• Vista Medical Center East Hospital, Waukegan, IL, CCN 140084
• Ascension Seton Northwest Hospital, Austin, TX, CCN 450867
• Providence Medford Medical Center Hospital, Medford, OR, CCN 380075

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4
• Direct secure messaging: siva.marri.1@2069.direct.athenahealth.com
• Direct secure messaging: siva.marri.1@8363.direct.athenahealth.com
• Direct secure messaging: smarri463948@ahs.direct-ci.com
• Direct secure messaging: smarri812688@oc.providencedirect.org

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.

• Providence Health & Services Oregon

  dba Providence Medical Group South

  • Family Medicine Physician
  • Medford, OR
  • NPI 1568547503

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Central Texas Community Health Centers

  dba CommUnityCare

  • Family Medicine Physician
  • Austin, TX
  • NPI 1427882091

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Sound Physicians Intensivists of Washington PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Spokane, WA
  • NPI 1528582699

  OR, Pulmonary Disease

  Medicare reassignment Care Compare group NPD
• Usacs Critical Care Medicine Services of Texas, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Cedar Park, TX
  • NPI 1023522554
  Medicare reassignment Care Compare group NPD
• Waukegan Clinic Corp

  • Family Medicine Physician
  • Waukegan, IL
  • NPI 1306937289

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Austin Critical Care Specialists PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1447435805
  Medicare reassignment NPD
• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  Medicare reassignment NPD
• Timberland Medical Group

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1528061157

  Internal Medicine

  Medicare reassignment NPD
• Providence Health & Services - Oregon

  dba Providence Medical Group South

  • Family Medicine Physician
  • Medford, OR
  • NPI 1346619467

  Internal Medicine

  NPD
• Providence Health & Services - Oregon

  dba Providence Medical Group South

  • Clinic/Center
  • Phoenix, OR
  • NPI 1992882500
  NPD
• Austin Critical Care Specialists PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Round Rock, TX
  • NPI 1548445596
  NPD

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

• Providence Health & Services - Oregon

  dba Providence Medford Medical Center

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1689755670
  Care Compare affiliation
• Ascension Seton

  dba Ascension Seton Northwest

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1124137054
  Care Compare affiliation
• Ascension Seton

  dba Ascension Seton Williamson

  • General Acute Care Hospital
  • Round Rock, TX
  • NPI 1578780870
  Care Compare affiliation
• Cedar Park Health System LLC

  dba Ascension Seton Cedar Park

  • General Acute Care Hospital
  • Cedar Park, TX
  • NPI 1376662296
  Care Compare affiliation
• Waukegan Illinois Hospital Company LLC

  dba Vista Medical Center East

  • General Acute Care Hospital
  • Waukegan, IL
  • NPI 1639120694
  Care Compare affiliation

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1366755126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "541-373-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 E MCANDREWS RD STE 400",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045590",
            "telephone_number": "541-732-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRI",
        "first_name": "SIVA",
        "middle_name": "RAMA KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-22",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN14672",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OR",
            "license": "MD180848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500721239",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smarri812688@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1619 NW Hawthorne Ave Ste 206",
            "city": "Grants Pass",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975266009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smarri812688@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1698 E McAndrews Rd Ste 400",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975045590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lori Jo Marlia-Larsen
• Ashleigh Maree Marling, MA
• Marquart Anesthesia Services PA Inc
• Alyssa Marie Marquez
• Brandon M Marr
• Jennifer Marsh, MS, QMHP, LPC, LPCC
• Richelle Raelynn Marshall
• Kathleen Loreena Martell, QMHA
• Tia Marten
• Christina Renee Martin, DNP

• Pulmonary Disease Physician in Medford, OR
• Providers in Medford, OR by specialty
• Pulmonary Disease Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.
• 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.