Praveen Sivakumaran (NPI# 1023226081, PAC ID# 1658427166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1023226081 |
| PAC ID by PECOS | 1658427166 |
| Professional Enrollment ID | I20150521001869 |
| Full Name | Praveen Sivakumaran |
| Organization Legal Name | GWINNETT HOSPITAL SYSTEM, INC. |
| Address |
1000 Medical Ctr Blvd Lawrenceville GA 30046-7694 |
| Phone Number | 6784425521 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 8123916426 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110087 | GWINNETT MEDICAL CENTER |
| 110192 | EASTSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 | 6784425521 | GWINNETT HOSPITAL SYSTEM, INC. |
| 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 | 6783124321 | GWINNETT PHYSICIAN GROUP,LLC |
| 1700 Medical Way, Snellville, GA 30078-2195 | 7709638030 | GWINNETT PHYSICIAN GROUP,LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 79% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 2% | |
| MIPS_EC_144_overall | Oncology: Medical and Radiation - Plan of Care for Pain | 97% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | GWINNETT HOSPITAL SYSTEM, INC. |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Eileen Copeland | Nurse Practitioner | Gwinnett Hospital System, Inc. | 3620 Howell Ferry Rd, Duluth, GA 30096-3178 |
| Barbara B O'callaghan | Nurse Practitioner | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Nanyoung Park | Nurse Practitioner | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Alexander Saker Jr. | Hematology/oncology | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Rebeca Coronado Klatt | Nurse Practitioner | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Satvir Singh | Hematology/oncology | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Carla Bumanglag Perry | Nurse Practitioner | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Leslie K Ross | Physician Assistant | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Debra R Miller | Medical Oncology | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Ramandeep Kaur Bambrah | Medical Oncology | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Street Address |
1000 MEDICAL CTR BLVD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip | 30046-7694 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara B O'callaghan | Nurse Practitioner | Gwinnett Hospital System, Inc. | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Jiaqi Li | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Amsel M Siore | Pulmonary Disease | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Crichton Anne Hollingsworth | Nurse Practitioner | Gwinnett Emergency Specialists PC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Michael J Pickford | Otolaryngology | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Eddie L Simms | Physician Assistant | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Erica B Jin | Obstetrics/gynecology | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Jennifer Ifeoma Obi | Pulmonary Disease | Gwinnett Physician Group,llc | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Whitney Morrow | Anesthesiology Assistant | American Anesthesiology Associates of Georgia LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Manfred A Sandler | Cardiovascular Disease (cardiology) | Cvg Physicians Group, LLC | 1000 Medical Ctr Blvd, Lawrenceville, GA 30046-7694 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chundra Brooks | Nurse Practitioner | Aga Professional Services LLC | 301 Phillip Blvd, Suite A, Lawrenceville, GA 30046 |
| Gail S Hammond | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Kenneth L Knight | Clinical Social Worker | 295 S Culver St, Suite A, Lawrenceville, GA 30046-3239 | |
| Robert W Stevens | Chiropractic | 368 W Pike St, Suite 202, Lawrenceville, GA 30046-3240 | |
| Mehdi Kazemzadeh | Optometry | 575 Professional Dr, Suite 100, Lawrenceville, GA 30046-3300 | |
| Raymond L Stovall | Internal Medicine | 575 Professional Dr, Suite 310, Lawrenceville, GA 30046-3300 | |
| Jeffrey D Zwiren | Plastic and Reconstructive Surgery | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Kelly H Scoggins | Nurse Practitioner | Gwinnett Physician Group,llc | 100 Medical Ctr Blvd, Suite 165, Lawrenceville, GA 30046-3301 |
| Pamela A Boyd | Nurse Practitioner | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| William G Tanner Jr. | Gastroenterology | Gastroenterology Specialists of Gwinnett, P.C. | 721 Wellness Way, Suite 100, Lawrenceville, GA 30046-3304 |
| Find all physicians in zip 30046 | |||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | LAWRENCEVILLE + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Praveen Sivakumaran.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.