NPIMap

Individual provider Active NPI

Kirubakaran Siva, DO

  • Family Medicine Physician
  • Newburyport, MA
National Provider Identifier
1649657594
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
274862 Issued in MA
Practice address
1 Wallace Bashaw Way Ste 1002
Newburyport, MA 01950-3876
Phone
(978) 255-2612
NPI assigned
Apr 29, 2015
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 274862 MA Primary
Hospitalist Physician 208M00000X 274862 MA

Addresses

Primary practice location

1 Wallace Bashaw Way Ste 1002
Newburyport, MA 01950-3876

Mailing address

1 Wallace Bashaw Way Ste 1002
Newburyport, MA 01950-3876
Phone (978) 255-2612

Other practice location 1

25 Highland Ave
Newburyport, MA 01950-3867
Phone (978) 463-1383

Other practice location 2

47 High Street
Suite 101
North Andover, MA 01845
Phone (978) 258-4734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180829003812 MA Practitioner - Internal MedicinePractitioner - Hospitalist 1153621073 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
United Family Medical Center, LLCGroup PAC ID 8729431226, 10 clinicians

Practice addresses (Care Compare)

1 Wallace Bashaw Way
Suite 1002
Newburyport, MA 01950-3876
Phone (978) 255-2612

15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Lahey Health Primary Care, Inc. CurrentSince Feb 11, 2026 Accepting new patients
Winchester Lahey Inpatient Specialists PLLC CurrentSince Sep 1, 2018 Accepting new patients
Lawrence General Community Medical Service PLLC CurrentSince May 1, 2023 Accepting new patients
Sound Physicians of Massachusetts Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Anna Jaques Inpatient Specialists PLLC CurrentSince Aug 1, 2018 Accepting new patients
Sound Physicians of Massachusetts, Inc Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
United Family Medical Center LLC CurrentSince Nov 14, 2023 Accepting new patients
Sound Physicians of Massachusetts II PC CurrentSince Sep 1, 2018 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 15, 2019 Accepting new patients
Anna Jaques Bidco Inpatient Specialists PLLC CurrentSince Oct 1, 2018 Accepting new patients
Beth Israel Lahey Health Primary Care Inc CurrentSince Feb 11, 2026 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 15, 2019 Accepting new patients
Lowell General Inpatient Specialists PLLC CurrentSince Jul 1, 2024 Accepting new patients
Sound Physicians of Massachusetts Inc Family Medicine Current Accepting new patients
Oc Maplewood Center, LLC Past Accepting new patients
Encompass Health Rehabilitation Hospital of New England, LLC Past Accepting new patients
Westford Nursing and Rehab BHC Operations Past Accepting new patients
Locust Street Operations LLC Past Accepting new patients
Morrill Place Operations LLC Past Accepting new patients
Bear Mt Andover LLC Past Accepting new patients
Lincoln Road Operations LLC Past Accepting new patients
Anna Jaques Hospital Past Accepting new patients

Locations

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

70 East St
Methuen, MA 01844
Phone (978) 682-1906

1 Wallace Bashaw Way
Ste 1002
Newburyport, MA 01950
Phone (978) 255-2612

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

47 High St
Ste 101
North Andover, MA 01845
Phone (978) 258-4734

15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381

45 Woburn St
Waltham, MA 02452
Phone (781) 899-8600

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

1 Harbison Way
Ste 222
Columbia, SC 29212

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.laheyhealth.org/proxy-prd-fhir/api/FHIR/R4/
  • Direct secure messaging: kirubakaran.siva.1@30018.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Services of MassachusettsLakeville, MA, CCN 221570 Hospice W-2 Managing Employee Jan 1, 2025
Hospice of Western & Central MassachusettsFeeding Hills, MA, CCN 221576 Hospice W-2 Managing Employee Oct 29, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 22

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 22

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1649657594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY STE 1002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503876",
            "telephone_number": "978-255-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY STE 1002",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503876",
            "telephone_number": "978-255-2612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Newburyport",
            "state": "MA",
            "postal_code": "019503867",
            "country_code": "US",
            "telephone_number": "978-463-1383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 High Street",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "North Andover",
            "state": "MA",
            "postal_code": "01845",
            "country_code": "US",
            "telephone_number": "978-258-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVA",
        "first_name": "KIRUBAKARAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "274862",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "274862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.