Geetha Sivam, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

01037848 Issued in IN

Practice address

9725 Prairie Ave
Highland, IN 46322-3616

Phone

(219) 924-5300

Fax

(219) 924-7041

NPI assigned

May 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Geetha Sivam MD

  • Pediatrics Physician
  • Highland, IN
  • NPI 1396040572
  NPD Authorized official
• Gibson Community Hospital Association

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1407802960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 PRAIRIE AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223616",
            "telephone_number": "219-924-5300",
            "fax_number": "219-924-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 PRAIRIE AVE",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223616",
            "telephone_number": "219-924-5300",
            "fax_number": "219-924-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAM",
        "first_name": "GEETHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01037848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100349810",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Sidler
• Angela Siemer, M.S.
• Mansueto Silverman, M.D.
• Alicia Cristina Simale, PHARMD
• Saket B Sinha, M.D.
• Thomas K. Sleweon, M.D.
• Smile Zone Associates LLC
• Smile Zone Periodontics LLC.
• Briannah Tamia Smith
• Lynn Smith, LCSW

• Pediatrics Physician in Highland, IN
• Providers in Highland, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.