DR. SENTHIL KUMAR SIVAM MD
NPI 1023209210
Hospitalist in Frisco, TX
About Dr. Senthil Kumar Sivam Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SENTHIL KUMAR SIVAM MD (NPI 1023209210) is an individual hospitalist provider in Frisco, Texas, licensed in Texas (N7351) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Ut Southwestern University Hospital - William P. Clements Jr., and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Senthil Kumar Sivam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Senthil Sivam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plano, TX 75024
- Reassigned Medicare billing, Texas enrollment
- 5,299 clinicians in this Medicare group
Austin, TX 78758
- Reassigned Medicare billing, Texas enrollment
- 1,188 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Southwestern University Hospital - William P. Clements Jr.
Acute Care Hospitals · Dallas, TXTexas Health Hospital Frisco
Acute Care Hospitals · Frisco, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRISCO, TX 75033
FRISCO, TX 75033
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Senthil Sivam's NPI number?
The NPI number for Senthil Sivam is 1023209210. It was assigned to this individual provider in the NPPES registry on August 5, 2007.
Where is Senthil Sivam located?
Senthil Sivam practices at 12500 Dallas Pkwy, Frisco, TX 75033. The listed phone number is (214) 645-3597.
What is Senthil Sivam's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Senthil Sivam enrolled in Medicare?
Yes. Senthil Sivam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Senthil Sivam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Senthil Sivam reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Plano, TX) and Seton Family Of Doctors (Austin, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Senthil Sivam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Senthil Sivam accept?
Health plans from Blue Cross and Blue Shield of Texas, Harbor Health and Sendero Health Plans, Local Nonprofit list Senthil Sivam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Senthil Sivam affiliated with any hospitals?
According to CMS data, Senthil Sivam is affiliated with Ut Southwestern University Hospital - William P. Clements Jr. and Texas Health Hospital Frisco.
When was this NPI record last updated?
The NPPES record for Senthil Sivam was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Senthil Kumar Sivam, MD · NPI 1023209210
Hospitalist physician in Frisco, Texas. Individual provider, active in the CMS NPPES registry since August 5, 2007.
## Identity
- **NPI:** 1023209210 (Entity type: Individual)
- **Enumerated:** August 5, 2007
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** N7351 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 12500 DALLAS PKWY, Frisco, TX 75033-4231
- **Phone:** (214) 645-3597
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of Texas Southwestern Medical Center At Dallas (NPI 1518984988, Plano, TX); Seton Family Of Doctors (NPI 1225644065, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 3, 2025
- **Other identifiers:** Medicaid 217870901 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1023209210) · Data from the CMS NPPES public registry.