Individual provider Active NPI

Sirish Parvathaneni, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lima, OH
National Provider Identifier
1659360915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
35082128P Issued in OH
Practice address
1005 Bellefontaine Ave
Suite 230
Lima, OH 45804-2851
Phone
(419) 227-7702
Fax
(419) 227-7991
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 35082128P OH Primary

Addresses

Primary practice location

1005 Bellefontaine Ave
Suite 230
Lima, OH 45804-2851

Mailing address

1005 Bellefontaine Ave
Suite 230
Lima, OH 45804-2851
Phone (419) 227-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, NM3 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

Enrollment IDStateProvider typePAC IDDetails
I20071101000450 MO Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 5890725683 Reassigns benefits to 1 organization
I20200320002205 AR Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 5890725683 Reassigns benefits to 2 organizations
I20210319000611 NM Practitioner - Thoracic Surgery 5890725683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

201 Cedar St SE
Suite 7600
Albuquerque, NM 87106-4921
Phone (505) 563-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)29
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082128POHMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 3, 2020 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Aug 15, 2007 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 11, 2021 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 3, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Apr 3, 2020 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 11, 2021 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Loyola University Physician Foundation Past Accepting new patients
Cardiac Surgery Associates SC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

7303 Rogers Ave
Ste 302
Fort Smith, AR 72903
Phone (479) 452-1188

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

7001 Rogers Ave
Ste 401A
Fort Smith, AR 72903
Phone (479) 314-4650

1605 Martin Springs Dr
Ste 310
Rolla, MO 65401
Phone (417) 820-2064

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215

2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905

201 Cedar St SE
Ste 7600
Albuquerque, NM 87106
Phone (505) 563-2500

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: sparvathaneni202016@direct.phs.org
  • Direct secure messaging: sparvathaneni1116@directb.mercy.net
  • Direct secure messaging: sparvathaneni95248@surescripts.sfmc.net

Organizations & group practices 10

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 3

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659360915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BELLEFONTAINE AVE",
            "address_2": "SUITE 230",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042851",
            "telephone_number": "419-227-7702",
            "fax_number": "419-227-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BELLEFONTAINE AVE",
            "address_2": "SUITE 230",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042851",
            "telephone_number": "419-227-7702",
            "fax_number": "419-227-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVATHANENI",
        "first_name": "SIRISH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35082128P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.