Individual provider Active NPI

Tharenie Sivarajah, MD

  • Family Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1891040630
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
032-T2 Issued in WY
Practice address
820 East 17TH Street
Cheyenne, WY 82001-4797
Phone
(307) 632-2434
Fax
(307) 634-3510
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 293430 NY
Family Medicine Physician 207Q00000X 032-T2 WY Primary

Addresses

Primary practice location

820 East 17TH Street
Cheyenne, WY 82001-4797

Mailing address

820 East 17TH Street
Cheyenne, WY 82001-4797
Phone (307) 632-2434

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aharing181657@direct.urmc.rochester.edu Direct
Direct Messaging Address aharing181657@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NY2 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
I20150218000530 WY Practitioner - Family Practice 2062656499
I20190808003197 NY Practitioner - Family Practice 2062656499 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Observation Associates of the University of RochesterGroup PAC ID 7517919244, 39 clinicians

Practice addresses (Care Compare)

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-0980

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293430NYMDFamily Medicine Physician
032-T2WYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Jul 1, 2020 Accepting new patients
Emergency Associates - University of Rochester CurrentSince Jul 1, 2020 Accepting new patients
University of Rochester Urgent Care CurrentSince Jul 1, 2020 Accepting new patients
College Drive Urgent Care LLC CurrentSince May 4, 2025 Accepting new patients
University of Rochester CurrentSince Jul 1, 2020 Accepting new patients
Observation Associates of the University of Rochester CurrentSince Jul 1, 2020 Accepting new patients
University of Rochester Current Accepting new patients
University of Rochester Past Accepting new patients

Locations

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500

Interoperability endpoints

  • Direct secure messaging: aharing181657@direct.urmc.rochester.edu

Organizations & group practices 8

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 2

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1891040630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 EAST 17TH STREET",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014797",
            "telephone_number": "307-632-2434",
            "fax_number": "307-634-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EAST 17TH STREET",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014797",
            "telephone_number": "307-632-2434",
            "fax_number": "307-634-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVARAJAH",
        "first_name": "THARENIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "293430",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "032-T2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aharing181657@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aharing181657@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.