Individual provider Active NPI

Miriam J. Sivkin, M.D.

  • Obstetrics & Gynecology Physician
  • Milford, CT
National Provider Identifier
1578624474
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
029814 Issued in CT
Practice address
247 Broad St
Milford, CT 06460-3267
Phone
(203) 783-0543
Fax
(203) 874-5728
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 029814 CT Primary

Addresses

Primary practice location

247 Broad St
Milford, CT 06460-3267

Mailing address

247 Broad St
Milford, CT 06460-3267
Phone (203) 783-0543

Other identifiers 7

IdentifierTypeStateIssuer
127938OtherCTPREFERRED ONE WELLCARE
161664854OtherCTTAX I.D. NO
ZP116OtherCTOXFORD
010029814CT01OtherCOANTHEM I.D. NO.
2V3325OtherCTHEALTHNET
004237112MedicaidCT
029814OtherCTCONNECTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20101105000899 CT Practitioner - Obstetrics/Gynecology 9830085828 Reassigns benefits to 1 organization
I20250624003192 NY Practitioner - Obstetrics/Gynecology 9830085828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

1 Gustave Levy Place
Mount Sinai Hospital
New York, NY 10029-6500
Phone (212) 241-2232

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029814CTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Obstetrics & Gynecology CurrentSince Jun 1, 2025 Accepting new patients
Yale University Obstetrics & Gynecology CurrentSince Jun 1, 2015 Accepting new patients
Yale University CurrentSince Jun 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jun 1, 2025 Accepting new patients
Milford OB GYN Physicians P C Obstetrics & Gynecology Past Accepting new patients

Locations

247 Broad St
Milford, CT 06460
Phone (203) 783-0543

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

150 E 42nd St
Fl 2
New York, NY 10017
Phone (646) 605-8119

1427 Madison Ave
New York, NY 10029

5 E 98th St
Fl 2
New York, NY 10029
Phone (212) 241-6551

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1578624474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603267",
            "telephone_number": "203-783-0543",
            "fax_number": "203-874-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603267",
            "telephone_number": "203-783-0543",
            "fax_number": "203-874-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVKIN",
        "first_name": "MIRIAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "029814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE  WELLCARE",
            "identifier": "127938",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D. NO",
            "identifier": "161664854",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ZP116",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM I.D. NO.",
            "identifier": "010029814CT01",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V3325",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004237112",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "029814",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.