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DR. SIVAKUMAR SREENIVASAN DMD, MDS
NPI 1275670937
Dentist - Oral and Maxillofacial Surgery in Rockville, MD

Active since January 31, 2007Opted out of Medicare · through Oct 7, 2027
77 S WASHINGTON ST STE 205, ROCKVILLE, MD 20850(301) 294-8700(301) 294-9007 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sivakumar Sreenivasan Dmd, Mds NPPES

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

DR. SIVAKUMAR SREENIVASAN DMD, MDS (NPI 1275670937) is an individual oral and maxillofacial surgery provider in Rockville, Maryland, licensed in Maryland (12242) and active in the NPI registry since January 2007. He has opted out of Medicare through October 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275670937
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SIVAKUMAR SREENIVASANCredential: DMD, MDS
Location Address77 S WASHINGTON ST STE 205Rockville, MD 20850-2331
Mailing Address77 S Washington St Ste 205Rockville, MD 20850-2331 · (301) 294-8700 · Fax (301) 294-9007
Phone(301) 294-8700
Fax(301) 294-9007
Sole ProprietorYes
Enumeration DateJanuary 31, 2007
Last NPPES UpdateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1275670937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MD · 12242
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
77 S WASHINGTON ST STE 205, Rockville, MD 20850
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Sivakumar Sreenivasan Dmd, Mds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 7, 2015 through October 7, 2027.

Opt-Out Effective DateOctober 7, 2015
Opt-Out In Effect ThroughOctober 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
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

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

OMFS MD, P.A.
Dentist (Oral and Maxillofacial Surgery)
77 S WASHINGTON ST STE 205
ROCKVILLE, MD 20850
Montgomery County (301) 294-8700

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 Sivakumar Sreenivasan's NPI number?

The NPI number for Sivakumar Sreenivasan is 1275670937. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Sivakumar Sreenivasan located?

Sivakumar Sreenivasan practices at 77 S Washington St Ste 205, Rockville, MD 20850. The listed phone number is (301) 294-8700.

What is Sivakumar Sreenivasan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sivakumar Sreenivasan enrolled in Medicare?

No. Sivakumar Sreenivasan has opted out of Medicare through October 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Sivakumar Sreenivasan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 1 other insurer list Sivakumar Sreenivasan 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 Sivakumar Sreenivasan was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.