SHYAM MOHAN SIVASANKAR M.D.
NPI 1255741161
Emergency Medicine - Pediatric Emergency Medicine in Stanford, CA
About Shyam Mohan Sivasankar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHYAM MOHAN SIVASANKAR M.D. (NPI 1255741161) is an individual pediatric emergency medicine provider in Stanford, California, licensed in California (A139013) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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
Shyam Mohan Sivasankar M.d. 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
5Medicare enrollment records show Shyam Sivasankar reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 547 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94305 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.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Shyam Sivasankar's NPI number?
The NPI number for Shyam Sivasankar is 1255741161. It was assigned to this individual provider in the NPPES registry on April 30, 2014.
Where is Shyam Sivasankar located?
Shyam Sivasankar practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Shyam Sivasankar's specialty?
The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.
Is Shyam Sivasankar enrolled in Medicare?
Yes. Shyam Sivasankar 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 Shyam Sivasankar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shyam Sivasankar reassigns Medicare benefits to 5 organizations: Stanford Health Care (Stanford, CA), Lpch Medical Group Div Of Lucile (Palo Alto, CA), Travis County Emergency Physicians PA (Austin, TX), Longhorn Emergency Medical Associates PA (Austin, TX) and Texas Children's Physician Group (Houston, 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 Shyam Sivasankar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shyam Sivasankar accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health, Imperial Insurance Companies, Inc. and Moda Health Plan, Inc. and 2 other insurers list Shyam Sivasankar 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 Shyam Sivasankar was last updated on March 21, 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.
# Shyam Mohan Sivasankar, M.D. · NPI 1255741161
Pediatric Emergency Medicine physician in Stanford, California. Individual provider, active in the CMS NPPES registry since April 30, 2014.
## Identity
- **NPI:** 1255741161 (Entity type: Individual)
- **Enumerated:** April 30, 2014
- **Primary specialty:** Emergency Medicine - Pediatric Emergency Medicine · taxonomy 207PP0204X
- **State license:** A139013 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1437292927, Stanford, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX); Longhorn Emergency Medical Associates PA (NPI 1649669672, Austin, TX); Texas Children's Physician Group (NPI 1861675506, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Southwestern Medical School At Dallas, class of 2014
## Record status
- **NPPES last updated:** March 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255741161) · Data from the CMS NPPES public registry.