DR. KRISHAN SIVARAJ MD, MPH
NPI 1417521345
Hospitalist in Durham, NC

Q: 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.

Q: What is Krishan Sivaraj's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: 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.

Active since May 15, 2021PECOS EnrolledAccepts Medicare Assignment

3643 N ROXBORO ST, DURHAM, NC 27704(919) 684-0280(919) 668-5394 Get Directions Write a Review

NPPES record last updated: June 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2024, May 15, 2021 (2 updates tracked since 2021).

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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 Duke University Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2021).

NPPES Registry Identity

NPI1417521345

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. KRISHAN SIVARAJCredential: MD, MPH

Location Address3643 N ROXBORO STDurham, NC 27704-2702

Mailing Address3643 N Roxboro StDurham, NC 27704-2702 · (919) 684-0280

Phone(919) 684-0280

Fax(919) 668-5394

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2021

Enumeration DateMay 15, 2021

Last NPPES UpdateJune 16, 20242 updates tracked since enumeration

NPPES CertifiedJune 16, 2024

✔ NPI 1417521345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NC · 2024-00327

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

3643 N ROXBORO ST, Durham, NC 27704

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Other Identifiers 1

Other2024-00327NC · Nc Medical License

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

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.

PECOS PAC ID6608271283

PECOS Enrollment IDI20241007004156

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 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.

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.

85 services34 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.

25 services24 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.

20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Granville Health Systems

Acute Care Hospitals · Oxford, NC

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340127

Location1010 College StOxford, NC 27565 · Granville County

Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340155

Location3643 N Roxboro StreetDurham, NC 27704 · Durham County

Emergency services Birthing friendly

Physician 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.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

LYDIA DARLUD MITCHELL M.D.

Emergency Medicine