NPIMap

Individual provider Active NPI

Sankaravadivu Sivasailam, MD

  • Hematology & Oncology Physician
  • Baltimore, MD
National Provider Identifier
1710971387
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D45530 Issued in MD
Practice address
9114 Philadelphia Rd
Suite 208
Baltimore, MD 21237-4317
Phone
(410) 687-5300
Fax
(410) 682-4418
NPI assigned
Sep 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D45530 MD Primary

Addresses

Primary practice location

9114 Philadelphia Rd
Suite 208
Baltimore, MD 21237-4317

Mailing address

9114 Philadelphia Rd
Suite 208
Baltimore, MD 21237-4317
Phone (410) 687-5300

Other identifiers 1

IdentifierTypeStateIssuer
31421100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20041113000243 MD Practitioner - Hematology/Oncology 0941104715 Reassigns benefits to 2 organizations
I20260507004465 DC Practitioner - Hematology/Oncology 0941104715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 570-7404

18105 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 774-8962

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-4877

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.09 of 100Reported as group
Quality
79.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D45530MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Nov 11, 2020 Accepting new patients
Upper Chesapeake Hematology and Oncology Services, LLC Hematology & Oncology CurrentSince Jul 1, 2011 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Nov 11, 2020 Accepting new patients

Locations

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

9114 Philadelphia Rd
Ste 208
Rosedale, MD 21237
Phone (410) 687-5300

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7501 Osler Dr
Ste 102
Towson, MD 21204
Phone (410) 427-5585

Interoperability endpoints

  • Direct secure messaging: ssivasailam534507@direct.umm.edu
  • Direct secure messaging: ssivasailam@uchs.direct.varian.com

Organizations & group practices 4

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1710971387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD",
            "address_2": "SUITE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374317",
            "telephone_number": "410-687-5300",
            "fax_number": "410-682-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9114 PHILADELPHIA RD",
            "address_2": "SUITE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212374317",
            "telephone_number": "410-687-5300",
            "fax_number": "410-682-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVASAILAM",
        "first_name": "SANKARAVADIVU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D45530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31421100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.