Active NPI
Niranjan Sivakumar, M.D.
- Nephrology Physician
- Olympia, WA
National Provider Identifier
1750675609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD60661919
- Practice address
- 3525 Ensign Rd NE
Suite K
Olympia, WA 98506-5065 - Phone
- (360) 413-8121
- NPI assigned
- Jun 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD60661919 | WA | Primary |
Addresses
Primary practice location
3525 Ensign Rd NE
Suite K
Olympia, WA 98506-5065
Mailing address
3525 Ensign Rd NE
Suite K
Olympia, WA 98506-5065
Phone (360) 413-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2059291 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Nephrology
- Education
- University of Nevada School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3525 Ensign Rd NE
Suite K
Olympia, WA 98506-5065
Phone 36041381211
Hospital & facility affiliations
- FMC Aberdeen
- DaVita Cooks Hill Dialysis
- DaVita Olympia Dialysis Center
- Providence St Peter Hospital
- Grays Harbor Community Hospital
- Summit Pacific Medical Center
- Willapa Harbor Hospital
- Tacoma General Allenmore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60661919 | WA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Nephrology Associates PLLC | Nephrology | Current | Accepting new patients |
Locations
3525 Ensign Rd NE
Ste K
Olympia, WA 98506
Phone (360) 413-8121
Interoperability endpoints
- niranjan.sivakumar@direct.davitaphysiciansolutions.com
Organizations & group practices 1
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.
-
- Nephrology Physician
- Olympia, WA
- NPI 1053374421
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Centralia, WA
- NPI 1396265351
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Olympia, WA
- NPI 1578715710
Dialysis facility
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- Critical Access Hospital
- South Bend, WA
- NPI 1295708683
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1750675609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 ENSIGN RD NE",
"address_2": "SUITE K",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065065",
"telephone_number": "360-413-8121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 ENSIGN RD NE",
"address_2": "SUITE K",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065065",
"telephone_number": "360-413-8121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVAKUMAR",
"first_name": "NIRANJAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "WA",
"license": "MD60661919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2059291",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.