Individual provider Active NPI

Siva K Patimalla Venkata

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Burlington, MA
National Provider Identifier
1740412337
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
292978 Issued in MA
Practice address
41 Mall Rd
Burlington, MA 01805-4804
Phone
(781) 744-8000
NPI assigned
Aug 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD462869 PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 292978 MA Primary

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805-4804

Mailing address

620 Howard Avenue
Suite 7F
Altoona, PA 16601

Other practice location 1

620 Howard Ave
Suite 7F
Altoona, PA 16601-4804
Phone (814) 889-2328

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address siva.p.venkata@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171228002873 PA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 9032359724 Reassigns benefits to 2 organizations
I20220719002912 MA Practitioner - Thoracic Surgery 9032359724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, 1,381 clinicians
Cardiovascular Center at Tufts Medical Center IncGroup PAC ID 3870857816, 98 clinicians

Practice addresses (Care Compare)

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8771

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

  • Beth Israel Lahey Health at Home Home health agency, Beverly, MA, CCN 227495
  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)23
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292978MAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Jun 10, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Nov 10, 2022 Accepting new patients
University of Pittsburgh Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 22, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 22, 2017 Accepting new patients
Cardiovascular Center at Tufts Medical Center, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Jan 16, 2018 Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Lahey Clinic Hospital, Inc. Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Western Maryland Health Services, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1
Boston, MA 02111

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

40 Quinlan Way
Ste 104
Hyannis, MA 02601
Phone (508) 775-5676

620 Howard Ave
Fl 7
Altoona, PA 16601
Phone (814) 943-5901

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

620 Howard Ave
Ste 7F
Altoona, PA 16601
Phone (814) 889-2328

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Interoperability endpoints

  • Direct secure messaging: spatimallavenkata183060@direct.bilh.masshiway.net

Organizations & group practices 11

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 5

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1740412337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 HOWARD AVENUE",
            "address_2": "SUITE 7F",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018054804",
            "telephone_number": "781-744-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Howard Ave",
            "address_2": "SUITE 7F",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166014804",
            "country_code": "US",
            "telephone_number": "814-889-2328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIMALLA VENKATA",
        "first_name": "SIVA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-14",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD462869",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MA",
            "license": "292978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "siva.p.venkata@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.