Active NPI
Chandrasakara Sivakumaran, M.D.
- Anesthesiology Physician
- Suffern, NY
National Provider Identifier
1902917008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 129685-1
- Practice address
- 255 Lafayette Ave
Suffern, NY 10901-4812 - Phone
- (845) 357-7830
- Fax
- (845) 357-8263
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 129685-1 | NY | Primary |
Addresses
Primary practice location
255 Lafayette Ave
Suffern, NY 10901-4812
Mailing address
133 Lafayette Ave
Suffern, NY 10901-5614
Phone (845) 357-7830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0772129 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129685-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ramapo Anesthesiologists, PC | Anesthesiology | Past | Accepting new patients |
| Port Jervis Anesthesiology Associates, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hospice and Palliative Medicine (Anesthesiology) Physician
- Port Jervis, NY
- NPI 1699984427
-
- Anesthesiology Physician
- Suffern, NY
- NPI 1235151002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902917008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 LAFAYETTE AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109015614",
"telephone_number": "845-357-7830",
"fax_number": "845-357-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 LAFAYETTE AVE",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109014812",
"telephone_number": "845-357-7830",
"fax_number": "845-357-8263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVAKUMARAN",
"first_name": "CHANDRASAKARA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "129685-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0772129",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.