Kumaraswamy Sivakumar


Address: 4545 E Shea Blvd, Suite 175, Phoenix, AZ 85028-3061

Kumaraswamy Sivakumar (NPI# 1821035254, PAC ID# 3971496332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.

Physician Overview

Nation Provider ID (NPI) 1821035254
PAC ID by PECOS 3971496332
Professional Enrollment ID I20040412000243
Full Name Kumaraswamy Sivakumar
Address 4545 E Shea Blvd
Suite 175
Phoenix
AZ 85028-3061
Gender M
Credential MD
Graduation Year 1986
Primary Specialty NEUROLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030038 SCOTTSDALE OSBORN MEDICAL CENTER
030012 YAVAPAI REGIONAL MEDICAL CENTER
030024 ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER
030087 HONORHEALTH SCOTTSDALE SHEA MEDICAL CENTER

Other Locations

Address Phone Organization
4545 E Shea Blvd, Suite 175, Phoenix, AZ 85028-3061

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 4545 E SHEA BLVD
SUITE 175
City PHOENIX
State AZ
Zip 85028-3061

Physicians in the same location

Name Specialty Organization Address
Elaine Slepak Qualified Audiologist Affiliated Audiology Consultants, Inc. 4545 E Shea Blvd, Suite 174, Phoenix, AZ 85028-3061
Georgine Ray Qualified Audiologist Affiliated Audiology Consultants, Inc. 4545 E Shea Blvd, Suite 174, Phoenix, AZ 85028-3061
Amanda M Mcinroy Qualified Audiologist Affiliated Audiology Consultants, Inc. 4545 E Shea Blvd, Suite 174, Phoenix, AZ 85028-3061
Randall E Bridges Chiropractic North Valley Chiropractic Center PC 4545 E Shea Blvd, Suite 174, Phoenix, AZ 85028-3061
Traci B Woods Audiologist Affiliated Audiology Consultants, Inc. 4545 E Shea Blvd, Suite 174, Phoenix, AZ 85028-3061

Physicians in the same zip code

Name Specialty Organization Address
Gary N Goodman Psychologist, Clinical 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Mi Le Tran Psychiatry 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Larisa Eubank Newell Psychologist, Clinical 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Lisa Joy Gordon Clinical Social Worker 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Jason Robert Newell Clinical Psychologist 11110 N Tatum Blvd, Suite 103, Phoenix, AZ 85028-1607
Shelley B Dooley Nurse Practitioner 11120 N Tatum Blvd, Suite 101, Phoenix, AZ 85028-1628
Amanda C Rainwater Dermatology Southwest Skin Specialists LLC 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630
Miriam P Cummings Dermatology Southwest Skin Specialists LLC 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630
Joseph M Giancola Dermatology Southwest Skin Specialists LLC 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630
Benjamin W Lesueur Dermatology Southwest Skin Specialists LLC 11130 N Tatum Blvd, Suite 100, Phoenix, AZ 85028-1630
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Competitor

Search similar physicians

City PHOENIX
Zip Code 85028
Specialty NEUROLOGY
City + Specialty PHOENIX + NEUROLOGY

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Dataset Information

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.

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