Kulumani M Sivarajan, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

036062941 Issued in IL

Practice address

2614 W Jefferson St
Joliet, IL 60435

Phone

(815) 725-1355

Fax

(815) 725-9857

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: kmsiv@jolietoncology.direct.varian.com
• Direct secure messaging: ksivarajan220345@dulyhealthandcare.direct-ci.com
• Direct secure messaging: ksivarajan220345@direct.edward.org

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1952396582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 PAYSPHERE CIR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740018",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "815-725-1355",
            "fax_number": "815-725-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVARAJAN",
        "first_name": "KULUMANI",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036062941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  INDIV ID#  FOR GROUP 336140",
            "identifier": "L29321",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062941",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIV ID#  FOR GROUP 205474",
            "identifier": "205474004",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "830001948",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksivarajan220345@direct.edward.org",
            "affiliation": "N",
            "address_1": "2614 W Jefferson St",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksivarajan220345@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "2614 W Jefferson St",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emma Jeanette Singla, LCSW
• Tiffany Marie Singletary, PT
• Sips of Healing
• Anna Sitar
• Bhavani Sivarajan, M.D.
• Timothy A Skaggs, D.C.
• Matthew Edward Skarbek, PSYD
• Jakub Jan Skorupa
• Gwendolyn J Skrezyna, RPH
• Sleep Works Inc

• Hematology & Oncology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Hematology & Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.