NPIMap

Individual provider Active NPI

Arumugam Sivakumar, MD

  • Gastroenterology Physician
  • Henderson, NV
National Provider Identifier
1578563102
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
6544 Issued in NV
Practice address
2637 W Horizon Ridge Pkwy
Ste 140
Henderson, NV 89052-4834
Phone
(702) 567-8080
Fax
(702) 567-9090
NPI assigned
Jul 26, 2005
Last updated
Dec 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 6544 NV Primary

Addresses

Primary practice location

2637 W Horizon Ridge Pkwy
Ste 140
Henderson, NV 89052-4834

Mailing address

PO Box 95067
Las Vegas, NV 89193-5067
Phone (702) 567-8080

Other identifiers 1

IdentifierTypeStateIssuer
2019312MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20050927000790 NV Practitioner - Gastroenterology 5395770507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2637 W Horizon Ridge Pkwy
Suite 140
Henderson, NV 89052-4835
Phone (702) 567-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy58
Upper gastrointestinal (GI) endoscopy for acid reflux67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6544NVMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arumugam Sivakumar Inc Gastroenterology CurrentSince Aug 18, 2001 Accepting new patients
Childrens Urology Associates, LLC PastSince Aug 18, 2001 Accepting new patients
Desert Springs Hospital Past Accepting new patients
Henderson Surgery Center PastSince Oct 23, 2007 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Boulder City Hospital Inc Past Accepting new patients

Locations

2637 W Horizon Ridge Pkwy
Ste 140
Henderson, NV 89052
Phone (702) 369-4999

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1578563102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95067",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891935067",
            "telephone_number": "702-567-8080",
            "fax_number": "702-567-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2637 W HORIZON RIDGE PKWY",
            "address_2": "STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524834",
            "telephone_number": "702-567-8080",
            "fax_number": "702-567-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVAKUMAR",
        "first_name": "ARUMUGAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "6544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019312",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.