Active NPI
Suramya Sivarajan, MD
- Family Medicine Physician
- Rome, NY
National Provider Identifier
1730828849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 339196
- Practice address
- 1617 N James St
Rome, NY 13440-2852 - Phone
- (315) 336-8260
- Fax
- (315) 327-9770
- NPI assigned
- May 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 339196 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1617 N James St
Rome, NY 13440-2852
Mailing address
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 801-8848
Other practice location 1
120 Hobart St
Utica, NY 13501-4308
Phone (315) 798-1149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1617 N James St
Rome, NY 13440-2852
Phone (315) 336-8260
Hospital & facility affiliations
- Wynn Hospital
- Rome Memorial Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339196 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Family Medicine | Current | Accepting new patients |
| MVHS Inc | Current | Accepting new patients |
Locations
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
1617 N James St
Rome, NY 13440
Phone (315) 336-8260
2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
120 Hobart St
Utica, NY 13501
Phone (315) 798-1149
Interoperability endpoints
- ssivarajan35519@mvhealthsystem.direct-ci.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Utica, NY
- NPI 1770690737
-
- Community/Retail Pharmacy
- Utica, NY
- NPI 1306573753
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1730828849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HOSPITAL DR",
"city": "UTICA",
"state": "NY",
"postal_code": "135022517",
"telephone_number": "315-801-8848",
"fax_number": "315-801-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 N JAMES ST",
"city": "ROME",
"state": "NY",
"postal_code": "134402852",
"telephone_number": "315-336-8260",
"fax_number": "315-327-9770"
}
],
"practiceLocations": [
{
"address_1": "120 Hobart St",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135014308",
"country_code": "US",
"telephone_number": "315-798-1149",
"fax_number": "315-734-3572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIVARAJAN",
"first_name": "SURAMYA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-27",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "339196",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.