Individual provider Active NPI

Sivakanth Reddy Katta, MD

  • Pain Medicine Physician
  • Westerville, OH
National Provider Identifier
1740677699
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35.136795 Issued in OH
Practice address
568 S Cleveland Ave
Westerville, OH 43081-8970
Phone
(614) 895-3344
NPI assigned
Apr 17, 2015
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anesthesiology Physician 207L00000X 35.136795 OH
Pain Medicine Physician 208VP0000X 35.136795 OH Primary

Addresses

Primary practice location

568 S Cleveland Ave
Westerville, OH 43081-8970

Mailing address

568 S Cleveland Ave
Westerville, OH 43081-8970
Phone (614) 895-3344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190903002104 OH Practitioner - AnesthesiologyPractitioner - Pain Management 0446589311 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Northeastern Ohio University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Broad Anesthesia, Inc.Group PAC ID 1355243148, 20 clinicians

Practice addresses (Care Compare)

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.136795OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Pain Medicine CurrentSince Sep 27, 2023 Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Sep 27, 2023 Accepting new patients
University Hospitals Medical Group Inc Anesthesiology CurrentSince Aug 2, 2019 Accepting new patients
West Broad Anesthesia, Inc. Anesthesiology CurrentSince Oct 19, 2024 Accepting new patients
Access Medical Group LLC Past Accepting new patients
Meritra Physicians LLC Past Accepting new patients

Locations

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

11100 Euclid Ave
Cleveland Heights, OH 44106

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

Organizations & group practices 7

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 1

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1740677699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818970",
            "telephone_number": "614-895-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 S CLEVELAND AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818970",
            "telephone_number": "614-895-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATTA",
        "first_name": "SIVAKANTH",
        "middle_name": "REDDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35.136795",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35.136795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.