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NIRANJAN SIVA MD
NPI 1154330157
Psychiatry & Neurology - Neurology in Paducah, KY

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
74.97/100
CMS Quality Rating
1532 LONE OAK RD, SUITE 150, PADUCAH, KY 42003(270) 538-6700(270) 538-6755 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Niranjan Siva Md NPPES

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

NIRANJAN SIVA MD (NPI 1154330157) is an individual neurology provider in Paducah, Kentucky, licensed in Kentucky (40453) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1154330157
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameNIRANJAN SIVACredential: MD
Location Address1532 LONE OAK RD, SUITE 150Paducah, KY 42003-7913
Mailing AddressPo Box 636961Cincinnati, OH 45263-6961 · (888) 696-3541 · Fax (513) 981-5015
Phone(270) 538-6700
Fax(270) 538-6755
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 7, 2006
Last NPPES UpdateApril 20, 2016
✔ NPI 1154330157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in KY · 40453
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 40453 (KY)
1532 LONE OAK RD, Paducah, KY 42003
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Other Identifiers 3

Medicare UPINI61836KY
Medicare PINP00026671KY
Medicaid7100009080KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Niranjan Siva 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.

PECOS PAC ID2769489087
PECOS Enrollment IDI20070305000197
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.

Areas of Expertise CMS Part B claims 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,195 services171 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
199 services98 patients
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.
168 services104 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
118 services92 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
118 services114 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
105 services101 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

74.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.26
Improvement Activities40
Cost47.6

Reported Quality Measures

Breast Cancer Screening
40%243 patients2/55-star benchmark: 93%
Cervical Cancer Screening
33%251 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
4%28 patients
Closing the Referral Loop: Receipt of Specialist Report
5%38 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
48%483 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
79%244 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
6%94 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
40%94 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%1,674 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
44%289 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
90%841 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
17%493 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%991 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 64% · 456 patients
Patients screened: 73% · 456 patients
56%94 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
77%305 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 19% · 269 patients
Patients totalRate: 22% · 269 patients
19%269 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers11 claims3,450 services$1.48 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers18 claims18 services$65.24 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
6 suppliers13 claims13 services$76.26 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
2 suppliers21 claims21 services$11.75 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$21.27 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims13 services$9.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

GARY BODNARCHUK M.D.
Internal Medicine (Gastroenterology)
1532 LONE OAK RD, SUITE 310
PADUCAH, KY 42003
McCracken County (270) 443-0777
DR. STEPHEN W LUIGS MD
Internal Medicine
1532 LONE OAK RD, SUITE G10
PADUCAH, KY 42003
McCracken County (270) 441-0021
ROSS EDWARD JONES MD
Internal Medicine (Gastroenterology)
1532 LONE OAK RD, SUITE 310
PADUCAH, KY 42003
McCracken County (270) 443-0777
LANCE D WILLIAMSON APRN
Nurse Practitioner
1532 LONE OAK RD, SUITE 315
PADUCAH, KY 42003
McCracken County (270) 538-5880
DEBORAH LYNN BRAY APRN
Clinical Nurse Specialist
1532 LONE OAK RD, SUITE 415
PADUCAH, KY 42003
McCracken County (270) 442-0103
JAMES P O'ROURKE MD, FACS, FCCP
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1532 LONE OAK RD, SUITE 445
PADUCAH, KY 42003
McCracken County (270) 538-5830
MR. WILLIAM E HOGANCAMP M.D.
Psychiatry & Neurology (Neurology)
1532 LONE OAK RD, SUITE 150
PADUCAH, KY 42003
McCracken County (270) 538-6700
DR. PATRICK K ELLISON M.D.
Urology
1532 LONE OAK RD, SUITE 310
PADUCAH, KY 42003
McCracken County (270) 538-6200

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 Niranjan Siva's NPI number?

The NPI number for Niranjan Siva is 1154330157. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Niranjan Siva located?

Niranjan Siva practices at 1532 Lone Oak Rd Suite 150, Paducah, KY 42003. The listed phone number is (270) 538-6700.

What is Niranjan Siva's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Niranjan Siva enrolled in Medicare?

Yes. Niranjan Siva 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.

What insurance does Niranjan Siva accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Niranjan Siva 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 Niranjan Siva affiliated with any hospitals?

According to CMS data, Niranjan Siva is affiliated with Mercy Health - Lourdes Hospital.

When was this NPI record last updated?

The NPPES record for Niranjan Siva was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.