NPIMap

Individual provider Active NPI

Siva P Doma, M.D.

  • Gastroenterology Physician
  • Yuba City, CA
National Provider Identifier
1700819422
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
C54070 Issued in CA
Practice address
870 Shasta St
Suite 200
Yuba City, CA 95991-4117
Phone
(530) 671-3671
Fax
(530) 671-3980
NPI assigned
Jul 8, 2006
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA07458700 NJ
Internal Medicine Physician 207R00000X MD426397 PA
Gastroenterology Physician 207RG0100X DR.0071310 CO
Gastroenterology Physician 207RG0100X MD426397 PA
Gastroenterology Physician 207RG0100X C54070 CA Primary

Addresses

Primary practice location

870 Shasta St
Suite 200
Yuba City, CA 95991-4117

Mailing address

870 Shasta St
Suite 200
Yuba City, CA 95991-4117
Phone (530) 671-3671

Other practice location 1

1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100929001418 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5698715563 Reassigns benefits to 2 organizations
I20230731002842 CO Practitioner - Gastroenterology 5698715563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Valley Gastroenterology Medical Group IncGroup PAC ID 1456650464, 3 clinicians

Practice addresses (Care Compare)

870 Shasta St
Suite 200
Yuba City, CA 95991-4117
Phone (530) 671-3671

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.96 of 100Reported as group
Quality
87.92
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy226
Upper gastrointestinal (GI) endoscopy for acid reflux198

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD426397PAMDInternal Medicine Physician
C54070CAMDGastroenterology Physician
DR.0071310COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Gastroenterology CurrentSince Aug 1, 2023 Accepting new patients
North Valley Gastroenterology Medical Group, Inc Gastroenterology CurrentSince Mar 31, 2016 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
The Endoscopy Center, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Aug 1, 2023 Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Internal Medicine Past Accepting new patients
JCL Gastroenterology, LLC Gastroenterology Past Accepting new patients
Clinical Staffing Solutions P.C. Internal Medicine Past Accepting new patients
Rideout Memorial Hospital Past Accepting new patients
Hera Inpatient Services Internal Medicine Past Accepting new patients

Locations

870 Shasta St
Ste 100
Yuba City, CA 95991
Phone (530) 671-3671

870 Shasta St
Ste 200
Yuba City, CA 95991
Phone (530) 671-3671

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

1010 Three Springs Blvd
Ste 270
Durango, CO 81301
Phone (970) 764-3800

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Interoperability endpoints

  • Direct secure messaging: sivadoma@nvgimg.allscriptsdirect.net
  • Direct secure messaging: sivadoma@thendctr.allscriptsdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1700819422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 SHASTA ST",
            "address_2": "SUITE 200",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914117",
            "telephone_number": "530-671-3671",
            "fax_number": "530-671-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SHASTA ST",
            "address_2": "SUITE 200",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914117",
            "telephone_number": "530-671-3671",
            "fax_number": "530-671-3980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Three Springs Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3800",
            "fax_number": "970-764-3840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMA",
        "first_name": "SIVA",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07458700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD426397",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "DR.0071310",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD426397",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C54070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.