SIVANI S. PATHMARAJAH M.D.
NPI 1336257666
Internal Medicine in West Chester, OH

Active since August 27, 2006PECOS EnrolledAccepts Medicare Assignment
77.26/100
CMS Quality Rating
8050 BECKETT CENTER DR, STE 108, WEST CHESTER, OH 45069(513) 618-7430(513) 280-8868 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sivani S. Pathmarajah M.d. NPPES

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

SIVANI S. PATHMARAJAH M.D. (NPI 1336257666) is an individual internal medicine provider in West Chester, Ohio, licensed in Ohio (35-088059) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1336257666
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSIVANI S. PATHMARAJAHCredential: M.D.
Location Address8050 BECKETT CENTER DR, STE 108West Chester, OH 45069-5017
Mailing Address8050 Beckett Center Dr, Ste 108West Chester, OH 45069-5017 · (513) 618-7430 · Fax (513) 280-8868
Fax(513) 280-8868
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 27, 2006
Last NPPES UpdateMarch 24, 2014
NPI 1336257666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35-088059
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35-088059 (OH)
8050 BECKETT CENTER DR, West Chester, OH 45069

Other Identifiers 8

Medicaid2758225OH
Medicare PIN4196562OH
Other000000520139Bcbs Fairfield Hos
OtherP00428418Rr Medicare
Medicaid201035810IN
Other000000 519937OH · Anthem Bcbs
Medicaid7100188050KY
Medicare PINH006260OH

Accepted 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

Sivani S. Pathmarajah 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.

PECOS PAC ID4385644095
PECOS Enrollment IDI20070103000183
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 6

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.
968 services255 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.
327 services270 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.
211 services99 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
209 services186 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services28 patients
Smoking and tobacco use intensive counseling, more than 10 minutes 99407
This service involves an in-depth discussion about the risks of smoking and tobacco use, spanning over 10 minutes. It provides personalized strategies to quit smoking, including coping techniques for withdrawal symptoms and triggers. The goal is to support your journey towards a healthier lifestyle.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Fort Hamilton Hughes Memorial Hospital

Acute Care Hospitals · Hamilton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360132
Location630 Eaton AvenueHamilton, OH 45013 · Butler County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Kettering Health Miamisburg

Acute Care Hospitals · Miamisburg, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360239
Location4000 Miamisburg-Centerville RoadMiamisburg, OH 45342 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45069 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.87
Improvement Activities0
Cost74.28

Referred Medical Equipment & Supplies CMS DME claims 3

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

Hospital bed, variable height, hi-lo, with any type side rails, with mattress E0255
DME-Hospital Beds · category DB000N
2 suppliers14 claims14 services$52.22 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 suppliers56 claims56 services$14.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers81 claims81 services$64.36 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 11

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

Social Worker (Clinical)
8050 BECKETT CENTER DR, SUITE 216
WEST CHESTER, OH 45069
Counselor (Mental Health)
8050 BECKETT CENTER DR
WEST CHESTER, OH 45069
Neuromusculoskeletal Medicine & OMM
8050 BECKETT CENTER DR, SUITE 303
WEST CHESTER, OH 45069
Counselor (Mental Health)
8050 BECKETT CENTER DR, SUITE 128
WEST CHESTER, OH 45069
Counselor (Mental Health)
8050 BECKETT CENTER DR, SUITE 105
WEST CHESTER, OH 45069
Home Health
8050 BECKETT CENTER DR, SUITE 325
WEST CHESTER, OH 45069
Psychologist (Clinical)
8050 BECKETT CENTER DR, SUITE 216
WEST CHESTER, OH 45069
Counselor (Professional)
8050 BECKETT CENTER DR
WEST CHESTER, OH 45069

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 Sivani Pathmarajah's NPI number?

The NPI number for Sivani Pathmarajah is 1336257666. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Sivani Pathmarajah located?

Sivani Pathmarajah practices at 8050 Beckett Center Dr Ste 108, West Chester, OH 45069. The listed phone number is (513) 618-7430.

What is Sivani Pathmarajah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sivani Pathmarajah enrolled in Medicare?

Yes. Sivani Pathmarajah 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 Sivani Pathmarajah accept?

Health plans from CareSource and Molina Healthcare list Sivani Pathmarajah 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 Sivani Pathmarajah affiliated with any hospitals?

According to CMS data, Sivani Pathmarajah is affiliated with Kettering Health Main Campus, Fort Hamilton Hughes Memorial Hospital, Kettering Health Dayton and Kettering Health Miamisburg.

When was this NPI record last updated?

The NPPES record for Sivani Pathmarajah was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.