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SIVA AMBALAVANAN MD
NPI 1346222643
Internal Medicine - Nephrology in Kettering, OH

Active since November 14, 2005PECOS EnrolledAccepts Medicare Assignment
500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429(937) 222-3118(937) 222-1436 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2024, Jan 23, 2017, Mar 18, 2016 (3 updates tracked since 2016).

About Siva Ambalavanan Md NPPES

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

SIVA AMBALAVANAN MD (NPI 1346222643) is an individual nephrology provider in Kettering, Ohio, licensed in Ohio (74675) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Dayton, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1346222643
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameSIVA AMBALAVANANCredential: MD
Location Address500 LINCOLN PARK BLVD, SUITE 100Kettering, OH 45429-6410
Mailing Address500 Lincoln Park Blvd, Suite 100Kettering, OH 45429-6410 · (937) 222-3118 · Fax (937) 222-1436
Phone(937) 222-3118
Fax(937) 222-1436
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 14, 2005
Last NPPES UpdateDecember 19, 20243 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
✔ NPI 1346222643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OH · 74675
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
500 LINCOLN PARK BLVD, Kettering, OH 45429
Open in Google Maps ↗

Other Identifiers 8

Other000000035826Anthem
OtherD74675Humana
Other310821503030Care Source
Other390005871Medicare Railroad
Medicaid2102905OH
Other2204490Aetna
Other3108215037C16United Mine Workers
Other390005871Uhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.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

Siva Ambalavanan 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 ID9638086341
PECOS Enrollment IDI20080811000501
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 4

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 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.
362 services205 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
122 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 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.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers43 claims2,760 services$0.28 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers18 claims1,980 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers23 claims1,980 services$0.93 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
6 suppliers30 claims30 services$17.04 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers56 claims56 services$12.40 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.

MS. NORIKO TSUCHIHASHI BANERJEE RN, CNP
Nurse Practitioner
500 LINCOLN PARK BLVD, SUITE 100
KETTERING, OH 45429
Montgomery County (937) 222-3118
DIANE CAROLAN STEGMAN PSYCHOTHERAPY LLC
Social Worker (Clinical)
500 LINCOLN PARK BLVD, SUITE 308
KETTERING, OH 45429
Montgomery County (937) 298-6288
NILESH SURESH MHASKAR MD
Internal Medicine (Nephrology)
500 LINCOLN PARK BLVD, SUITE 100
KETTERING, OH 45429
Montgomery County (937) 222-3118
NATALLIA MAROZ M.D.
Internal Medicine (Nephrology)
500 LINCOLN PARK BLVD, SUITE 100
KETTERING, OH 45429
Montgomery County (937) 222-3118
MRS. RACHEL J FLEENOR ST
500 LINCOLN PARK BLVD
KETTERING, OH 45429
Montgomery County (937) 293-5567
JAYLA TREADWELL PA-C
Physician Assistant
500 LINCOLN PARK BLVD
KETTERING, OH 45429
Montgomery County (937) 222-3118
BIHU G SANDHIR M.D.
Internal Medicine
500 LINCOLN PARK BLVD, SUITE 110
KETTERING, OH 45429
Montgomery County (937) 531-5020
ALLIANCE PHYSICIAN INC
Internal Medicine
500 LINCOLN PARK BLVD, SUITE 110
KETTERING, OH 45429
Montgomery County (937) 531-5020

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 Siva Ambalavanan's NPI number?

The NPI number for Siva Ambalavanan is 1346222643. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Siva Ambalavanan located?

Siva Ambalavanan practices at 500 Lincoln Park Blvd Suite 100, Kettering, OH 45429. The listed phone number is (937) 222-3118.

What is Siva Ambalavanan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Siva Ambalavanan enrolled in Medicare?

Yes. Siva Ambalavanan 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 Siva Ambalavanan accept?

Health plans from CareSource and UnitedHealthcare list Siva Ambalavanan 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 Siva Ambalavanan affiliated with any hospitals?

According to CMS data, Siva Ambalavanan is affiliated with Kettering Health Dayton.

When was this NPI record last updated?

The NPPES record for Siva Ambalavanan was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.