DR. KRISHAN SIVARAJ MD, MPH
NPI 1417521345
Hospitalist in Durham, NC
About Dr. Krishan Sivaraj Md, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISHAN SIVARAJ MD, MPH (NPI 1417521345) is an individual hospitalist provider in Durham, North Carolina, licensed in North Carolina (2024-00327) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Granville Health Systems, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Dr. Krishan Sivaraj Md, Mph 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 Reassignment
Medicare enrollment records show Krishan Sivaraj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27704
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Granville Health Systems
Acute Care Hospitals · Oxford, NCDuke Regional Hospital
Acute Care Hospitals · Durham, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Krishan Sivaraj's NPI number?
The NPI number for Krishan Sivaraj is 1417521345. It was assigned to this individual provider in the NPPES registry on May 15, 2021.
Where is Krishan Sivaraj located?
Krishan Sivaraj practices at 3643 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 684-0280.
What is Krishan Sivaraj's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Krishan Sivaraj enrolled in Medicare?
Yes. Krishan Sivaraj 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 organization bills Medicare for Krishan Sivaraj's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krishan Sivaraj reassigns Medicare benefits to Duke University Health System, Inc. (Durham, NC). The 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 Krishan Sivaraj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krishan Sivaraj accept?
Health plans from Cigna Healthcare list Krishan Sivaraj 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 Krishan Sivaraj affiliated with any hospitals?
According to CMS data, Krishan Sivaraj is affiliated with Granville Health Systems and Duke Regional Hospital.
When was this NPI record last updated?
The NPPES record for Krishan Sivaraj was last updated on June 16, 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.
# Dr. Krishan Sivaraj, MD, MPH · NPI 1417521345
Hospitalist physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since May 15, 2021.
## Identity
- **NPI:** 1417521345 (Entity type: Individual)
- **Enumerated:** May 15, 2021
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2024-00327 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3643 N ROXBORO ST, Durham, NC 27704-2702
- **Phone:** (919) 684-0280 · **Fax:** (919) 668-5394
## 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:** Duke University Health System, Inc. (NPI 1376574798, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** June 16, 2024
- **Other identifiers:** Other 2024-00327 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1417521345) · Data from the CMS NPPES public registry.