BARATHI SIVASAILAM
NPI 1235583451
Internal Medicine - Gastroenterology in Rockville, MD

Q: What is Barathi Sivasailam's NPI number?

The NPI number for Barathi Sivasailam is 1235583451. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Q: What is Barathi Sivasailam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment

91.81/100

CMS Quality Rating

9711 MEDICAL CENTER DR STE 308, ROCKVILLE, MD 20850(301) 251-1244(301) 340-9360 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Barathi Sivasailam NPPES

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

BARATHI SIVASAILAM (NPI 1235583451) is an individual gastroenterology provider in Rockville, Maryland, licensed in Maryland (D87133) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1235583451

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameBARATHI SIVASAILAM

Location Address9711 MEDICAL CENTER DR STE 308Rockville, MD 20850-3388

Mailing Address10770 Columbia Pike Ste 400Silver Spring, MD 20901-4462 · (215) 589-9012

Phone(301) 251-1244

Fax(301) 340-9360

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 14, 2016

Last NPPES UpdateJuly 7, 2023

NPPES CertifiedJuly 7, 2023

✔ NPI 1235583451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in MD · D87133

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

9711 MEDICAL CENTER DR STE 308, Rockville, MD 20850

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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

Barathi Sivasailam 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 ID5799070181

PECOS Enrollment IDI20230221002312, I20230221002710

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 8

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.

145 services118 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

82 services82 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

62 services62 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

60 services58 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

54 services54 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.

39 services34 patients

Hospital Affiliations CMS Care Compare 2

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210005

Location400 West Seventh StFrederick, MD 21701 · Frederick County

Emergency services Birthing friendly

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210057

Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20850 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

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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.

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.

91.81/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.14

Promoting Interoperability

100

Improvement Activities

Cost

87.56

Other Providers at the Same Location NPPES 5

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

ANNA STRONGIN M.D.

Internal Medicine (Gastroenterology)