DR. GANESAN SIVAGURU O.D.
NPI 1043696305
Optometrist in Baileys Crossroads, VA

Q: What is Ganesan Sivaguru's NPI number?

The NPI number for Ganesan Sivaguru is 1043696305. It was assigned to this individual provider in the NPPES registry on August 9, 2015.

Q: What is Ganesan Sivaguru's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ganesan Sivaguru was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since August 09, 2015PECOS Enrolled

3556A S JEFFERSON ST, BAILEYS CROSSROADS, VA 22041(703) 379-1100 Get Directions Write a Review

NPPES record last updated: March 9, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Ganesan Sivaguru O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GANESAN SIVAGURU O.D. (NPI 1043696305) is an individual optometrist in Baileys Crossroads, Virginia, licensed in Virginia (0618002463) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043696305

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GANESAN SIVAGURUCredential: O.D.

Location Address3556A S JEFFERSON STBaileys Crossroads, VA 22041-3119

Mailing Address201 Shannon CtSalisbury, MD 21804-1974

Phone(703) 379-1100

Sole ProprietorNo

Enumeration DateAugust 9, 2015

Last NPPES UpdateMarch 9, 2017

✔ NPI 1043696305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in VA · 0618002463

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 0618002463 (VA)

3556A S JEFFERSON ST, Baileys Crossroads, VA 22041

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ganesan Sivaguru O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ganesan Sivaguru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Visionworks, Inc.

6.2 mi

Optometrist

1335 G ST NW
Washington, DC 20005

Reassigned Medicare billing, District of Columbia and Maryland enrollments
58 clinicians in this Medicare group

NPI 1326316613 (202) 783-7171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22041 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL POTH, O.D. AND ASSOCIATES, P.C.

Eyewear Supplier

3556A S JEFFERSON ST
FALLS CHURCH, VA 22041

Fairfax County (703) 379-1100

AMIR AHMADI OD

Optometrist

3556A S JEFFERSON ST
FALLS CHURCH, VA 22041

Fairfax County (703) 379-1100

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 Ganesan Sivaguru's NPI number?

The NPI number for Ganesan Sivaguru is 1043696305. It was assigned to this individual provider in the NPPES registry on August 9, 2015.

Where is Ganesan Sivaguru located?

Ganesan Sivaguru practices at 3556A S Jefferson St, Baileys Crossroads, VA 22041. The listed phone number is (703) 379-1100.

What is Ganesan Sivaguru's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Ganesan Sivaguru enrolled in Medicare?

Yes. Ganesan Sivaguru is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ganesan Sivaguru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ganesan Sivaguru reassigns Medicare benefits to Visionworks, Inc. (Washington, DC). The 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 Ganesan Sivaguru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ganesan Sivaguru accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health list Ganesan Sivaguru 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.

When was this NPI record last updated?

The NPPES record for Ganesan Sivaguru was last updated on March 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.