DR. HEMA SIVASUBRAMANIAN MD
NPI 1093078248
Family Medicine in Roanoke, VA

Q: What is Hema Sivasubramanian's NPI number?

The NPI number for Hema Sivasubramanian is 1093078248. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Q: What is Hema Sivasubramanian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 22, 2012PECOS Enrolled

1229 3RD ST SW, ROANOKE, VA 24016(540) 512-5200 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 13, 2024, Jul 21, 2022, Aug 17, 2017 and 1 more (4 updates tracked since 2015).

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About Dr. Hema Sivasubramanian Md NPPES

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

DR. HEMA SIVASUBRAMANIAN MD (NPI 1093078248) is an individual family medicine provider in Roanoke, Virginia, licensed in Virginia (0101277231) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093078248

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. HEMA SIVASUBRAMANIANCredential: MD

Location Address1229 3RD ST SWRoanoke, VA 24016-4611

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713

Phone(540) 512-5200

Sole ProprietorNo

Enumeration DateJune 22, 2012

Last NPPES UpdateMay 13, 20244 updates tracked since enumeration

NPPES CertifiedMay 13, 2024

✔ NPI 1093078248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in VA · 0101277231✔ Licensed in NJ · 25MA10079200✔ Licensed in CA · A-132617

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1229 3RD ST SW, Roanoke, VA 24016

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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. Hema Sivasubramanian Md 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 Hema Sivasubramanian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carilion Medical Center

0.7 mi

Multi-Specialty

1906 BELLEVIEW AVE SE
Roanoke, VA 24014

Reassigned Medicare billing, Virginia enrollment
1,207 clinicians in this Medicare group

NPI 1730123472 (540) 981-7000

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

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 3

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

DR. ANDREA RHEA LOUGH D.O.

Family Medicine

1229 3RD ST SW
ROANOKE, VA 24016

Roanoke City (540) 985-9820

MADELENA P PICARD PA

Physician Assistant

1229 3RD ST SW
ROANOKE, VA 24016

Roanoke City (540) 512-5200

DR. CHAND SINGH MD

Internal Medicine

1229 3RD ST SW
ROANOKE, VA 24016

Roanoke City (540) 512-5200

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 Hema Sivasubramanian's NPI number?

The NPI number for Hema Sivasubramanian is 1093078248. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Hema Sivasubramanian located?

Hema Sivasubramanian practices at 1229 3rd St SW, Roanoke, VA 24016. The listed phone number is (540) 512-5200.

What is Hema Sivasubramanian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Hema Sivasubramanian enrolled in Medicare?

Yes. Hema Sivasubramanian is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hema Sivasubramanian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hema Sivasubramanian reassigns Medicare benefits to Carilion Medical Center (Roanoke, VA). 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 Hema Sivasubramanian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hema Sivasubramanian accept?

Health plans from Oscar Health list Hema Sivasubramanian 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 Hema Sivasubramanian was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.