Individual provider Active NPI

Haran Sivakumar, MD

  • Addiction Medicine (Family Medicine) Physician
  • New York, NY
National Provider Identifier
1982109740
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
312837 Issued in NY
Practice address
99 Wall St Ste 475
New York, NY 10005-4301
Phone
(917) 284-8973
Fax
(956) 394-1214
NPI assigned
Mar 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 312837 NY Primary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X 312837 NY
Family Medicine Physician 207Q00000X 312837 NY
Obesity Medicine (Preventive Medicine) Physician 2083B0002X A163513 CA
Obesity Medicine (Family Medicine) Physician 207QB0002X 312837 NY
Family Medicine Physician 207Q00000X A163513 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X A163513 CA
Obesity Medicine (Family Medicine) Physician 207QB0002X A163513 CA

Addresses

Primary practice location

99 Wall St Ste 475
New York, NY 10005-4301

Mailing address

99 Wall St Ste 475
New York, NY 10005-4301
Phone (917) 284-8973

Other practice location 1

13274 Fiji Way
Marina Del Rey, CA 90292-7282
Phone (833) 438-8763

Other practice location 2

51 E 25th St Fl 4
New York, NY 10010-8210
Phone (212) 532-0303

Other practice location 3

1300 York Ave
New York, NY 10065-4805
Phone (212) 746-1450

Other practice location 4

560 Cohasset Rd Ste 140
Chico, CA 95926-2478
Phone (530) 895-6625

Other practice location 5

505 E 70th St Fl 4
New York, NY 10021-4872
Phone (212) 746-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, 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
I20200116001651 CA Practitioner - PsychiatryPractitioner - Family Practice 8123453347 Reassigns benefits to 2 organizations
I20230105001822 NY Practitioner - Family PracticePractitioner - Addiction Medicine 8123453347 Reassigns benefits to 2 organizations
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine
Education
Icahn School of Medicine at Mount Sinai, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, shared by 46 NPIs, 2,023 clinicians
County of ButteGroup PAC ID 3779489356, 29 clinicians

Practice addresses (Care Compare)

1300 York Ave
New York, NY 10065-4805
Phone (212) 746-2900

505 E 70TH St
New York, NY 10021-4872

525 E 68TH St
New York, NY 10065-4870

560 Cohasset Rd
Suite 165
Chico, CA 95926-2460
Phone (530) 879-3950

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163513CAMDObesity Medicine (Family Medicine) Physician
312837NYMDObesity Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte Current Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2022 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2022 Accepting new patients
County of Butte CurrentSince Feb 14, 2022 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Family Medicine CurrentSince Dec 9, 2019 Accepting new patients
County of Butte CurrentSince Feb 14, 2022 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Dec 9, 2019 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

560 Cohasset Rd
Ste 140
Chico, CA 95926
Phone (530) 552-4936

560 Cohasset Rd
Ste 165
Chico, CA 95926
Phone (530) 879-3795

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

2430 Bird St
Oroville, CA 95965
Phone (530) 538-7277

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

300 Fir St
San Diego, CA 92101
Phone (619) 446-1586

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

505 E 70th St
Fl 4
New York, NY 10021
Phone (212) 746-2900

1300 York Ave
New York, NY 10065
Phone (212) 746-2900

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: rjh9009@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: haransivakumar@wdsmdinc.allscriptsdirect.net
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 11

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 5

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": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1982109740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 475",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "917-284-8973",
            "fax_number": "956-394-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 WALL ST STE 475",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100054301",
            "telephone_number": "917-284-8973",
            "fax_number": "956-394-1214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13274 Fiji Way",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902927282",
            "country_code": "US",
            "telephone_number": "833-438-8763",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 E 25th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100108210",
            "country_code": "US",
            "telephone_number": "212-532-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 York Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654805",
            "country_code": "US",
            "telephone_number": "212-746-1450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 Cohasset Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959262478",
            "country_code": "US",
            "telephone_number": "530-895-6625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 E 70th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214872",
            "country_code": "US",
            "telephone_number": "212-746-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIVAKUMAR",
        "first_name": "HARAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-26",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "312837",
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "NY",
            "license": "312837",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "312837",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A163513",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NY",
            "license": "312837",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A163513",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A163513",
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A163513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.