Sivaram K Yamajala, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

072112 Issued in MA

Practice address

871 Varnum Ave
Lowell, MA 01854

Phone

(978) 459-4544

Fax

(978) 970-1501

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA, NH2 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

Specialty

Internal Medicine

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
• Amedisys Home Health Home health agency, Portsmouth, NH, CCN 307006
• St Joseph Hospital Hospital, Nashua, NH, CCN 300011

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: syamajala2650380@direct.bsmhealth.org

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.

• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Medicare reassignment Care Compare group NPD
• VMD Primary Providers Massachusetts PLLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1912573999

  Internal Medicine, MA

  Medicare reassignment NPD
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679
  NPD
• St Joseph Hospital of Nashua NH

  • Rehabilitation Hospital Unit
  • Nashua, NH
  • NPI 1669462792
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys New Hampshire, L.L.C.

  • Home Health Agency
  • Portsmouth, NH
  • NPI 1326230251
  Care Compare affiliation
• Home Health & Hospice Care

  • Home Health Agency
  • Merrimack, NH
  • NPI 1437151651
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  • General Acute Care Hospital
  • Nashua, NH
  • NPI 1093787384
  Care Compare affiliation
• St Joseph Hospital of Nashua NH

  dba St Joseph Hospital Urgent Care

  • Urgent Care Clinic/Center
  • Milford, NH
  • NPI 1437758679

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1972558617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-459-4544",
            "fax_number": "978-970-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 VARNUM AVE",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-459-4544",
            "fax_number": "978-970-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAJALA",
        "first_name": "SIVARAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "072112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083683",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "072112",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J11633",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Xaykosy, LPN
• Daniel Daqi Xia, MD
• Xuan Duong, DMD LLC
• Namrita Yadav, DDS
• Santalena Yakubowski
• Massa Chinisegal Yamba
• Ruohai Yang
• Mary Yann, PHARMD
• Ilan Gabriel Yavitz Zincof, M.D.
• Charles N Yazigian, DC

• Internal Medicine Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.

Verify at the official NPI Registry.