Organization Active NPI

Indu Sivaraman MD LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Willoughby Hills, OH
National Provider Identifier
1841146727
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
INDU SIVARAMAN MD LLC
Practice address
35040 Chardon Rd Ste 105
Willoughby Hills, OH 44094-9027
Phone
(440) 766-3876
Fax
(440) 756-3876
NPI assigned
Mar 4, 2026
Last updated
Jun 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

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

Authorized official

Name
Dr. Indu Sivaraman, MDNPI 1275846370
Title
Owner
Phone
(440) 666-2193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X NU Primary

Addresses

Primary practice location

35040 Chardon Rd Ste 105
Willoughby Hills, OH 44094-9027

Mailing address

35040 Chardon Rd Ste 105
Willoughby Hills, OH 44094-9027
Phone (440) 766-3876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260414000699 OH Part B Supplier - Clinic/Group Practice 5294200671 Receives reassigned benefits from 1 practitioner
Practice locations: Willoughby Hills, OH

National Provider Directory

National Provider Directory

Locations

35040 Chardon Rd
Ste 105
Willoughby Hills, OH 44094
Phone (440) 666-2193

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781913600000",
    "number": "1841146727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD STE 105",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949027",
            "telephone_number": "440-766-3876",
            "fax_number": "440-756-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35040 CHARDON RD STE 105",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949027",
            "telephone_number": "440-766-3876",
            "fax_number": "440-756-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDU SIVARAMAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A",
        "authorized_official_last_name": "SIVARAMAN",
        "authorized_official_first_name": "INDU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-666-2193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.