Mark Vincent Sivieri, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0061704 Issued in MD

Practice address

10005 Old Columbia Rd Ste P170
Columbia, MD 21046-1727

Phone

(410) 312-5280

Fax

(877) 844-1423

NPI assigned

Jun 27, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Mark Sivieri M.D. P.a.

  • Family Medicine Physician
  • Columbia, MD
  • NPI 1255337002
  NPD (past)
• University Physicians Healthcare

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1730141243
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1992701742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10005 OLD COLUMBIA RD STE P170",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461727",
            "telephone_number": "410-312-5280",
            "fax_number": "877-844-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 OLD COLUMBIA RD STE P170",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461727",
            "telephone_number": "410-312-5280",
            "fax_number": "877-844-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVIERI",
        "first_name": "MARK",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jair Sinisterra Jr.
• Tsega Erkyihun Siressa
• Fred Jeffrey Sirotkin, O.D.
• Elizabeth Sital
• Jigar Sitapara, M.D.
• Diana Lampe Siwek, LCSW
• Juliann Elizabeth Siwicki, LCPC
• SJV 1 Columbia Opco LLC
• Justis Skeete
• Wrenn Skidmore

• Family Medicine Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.