SIVAMAINTHAN VITHIANANTHAN M.D.
NPI 1568458727
Surgery in Providence, RI

Q: What is Sivamainthan Vithiananthan's NPI number?

The NPI number for Sivamainthan Vithiananthan is 1568458727. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Sivamainthan Vithiananthan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment

86.26/100

CMS Quality Rating

195 COLLYER ST, SUITE 302, PROVIDENCE, RI 02904(401) 793-5140(401) 793-5171 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2021, Jan 29, 2020 (2 updates tracked since 2020).

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About Sivamainthan Vithiananthan M.d. NPPES

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

SIVAMAINTHAN VITHIANANTHAN M.D. (NPI 1568458727) is an individual surgery provider in Providence, Rhode Island, licensed in Massachusetts (80634) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of Columbia University College Of Physicians And Surgeons (1993).

NPPES Registry Identity

NPI1568458727

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameSIVAMAINTHAN VITHIANANTHANCredential: M.D.

Location Address195 COLLYER ST, SUITE 302Providence, RI 02904-1869

Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069

Phone(401) 793-5140

Fax(401) 793-5171

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1993

Enumeration DateSeptember 23, 2005

Last NPPES UpdateApril 20, 20212 updates tracked since enumeration

NPPES CertifiedApril 20, 2021

✔ NPI 1568458727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in MA · 80634✔ Licensed in RI · MD12377

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

195 COLLYER ST, Providence, RI 02904

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Other Identifiers 1

Medicaid02109373NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Sivamainthan Vithiananthan 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 ID3173508694

PECOS Enrollment IDI20191003003287

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

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 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.

15 services13 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number220011

Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

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.

86.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.84

Promoting Interoperability

100

Improvement Activities

Cost

58.7

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.

BORIS GERSHMAN M.D.

Urology

195 COLLYER ST, SUITE 201
PROVIDENCE, RI 02904

Providence County (401) 272-7799

ASHLEY NORIAN

Speech-Language Pathologist

195 COLLYER ST
PROVIDENCE, RI 02904

Providence County (401) 793-4080

COURTNEY ALISSA KLENK DPT

Physical Therapist

195 COLLYER ST, 3RD FLOOR
PROVIDENCE, RI 02904

Providence County (401) 793-4080

JODI BERGERON

Occupational Therapist

195 COLLYER ST
PROVIDENCE, RI 02904

Providence County (401) 793-4083

MISS ALEXIS VERA DENGEL

Nurse Practitioner (Family)

195 COLLYER ST
PROVIDENCE, RI 02904

Providence County (401) 272-7799

SHANNON MARIE LANE

Physical Therapy Assistant

195 COLLYER ST
PROVIDENCE, RI 02904

Providence County (401) 793-4080

UNIVERSITY UROLOGICAL ASSOCIATES, INC.

Urology

195 COLLYER ST, SUITE 201
PROVIDENCE, RI 02904

Providence County (401) 276-2026

GYAN PAREEK MD

Urology

195 COLLYER ST, SUITE 201
PROVIDENCE, RI 02904

Providence County (401) 272-7799

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 Sivamainthan Vithiananthan's NPI number?

The NPI number for Sivamainthan Vithiananthan is 1568458727. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Sivamainthan Vithiananthan located?

Sivamainthan Vithiananthan practices at 195 Collyer St Suite 302, Providence, RI 02904. The listed phone number is (401) 793-5140.

What is Sivamainthan Vithiananthan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sivamainthan Vithiananthan enrolled in Medicare?

Yes. Sivamainthan Vithiananthan 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 Sivamainthan Vithiananthan accept?

Health plans from Anthem Blue Cross and Blue Shield list Sivamainthan Vithiananthan 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 Sivamainthan Vithiananthan affiliated with any hospitals?

According to CMS data, Sivamainthan Vithiananthan is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Sivamainthan Vithiananthan was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.