DR. SIVA AMBALAM M.P.H., D.O.
NPI 1619234788
Family Medicine in Arlington, VA

Active since April 13, 2012PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
1005 N GLEBE RD STE 160, ARLINGTON, VA 22201(571) 492-3045 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2022, Apr 26, 2021, Oct 15, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Siva Ambalam M.p.h., D.o. NPPES

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

DR. SIVA AMBALAM M.P.H., D.O. (NPI 1619234788) is an individual family medicine provider in Arlington, Virginia, licensed in Virginia (0102205174) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2012).

NPPES Registry Identity

NPI1619234788
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIVA AMBALAMCredential: M.P.H., D.O.
Location Address1005 N GLEBE RD STE 160Arlington, VA 22201
Mailing AddressPo Box 37174Baltimore, MD 21297-3174 · (571) 423-5699 · Fax (571) 423-5698
Sole ProprietorYes
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2012
Enumeration DateApril 13, 2012
Last NPPES UpdateSeptember 29, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1619234788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0102205174
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1005 N GLEBE RD STE 160, Arlington, VA 22201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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. Siva Ambalam M.p.h., D.o. 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 ID7416201819
PECOS Enrollment IDI20181126000015, I20190108001580
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
40 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
38 services38 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
18 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22201 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

Other Providers at the Same Location NPPES 5

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

Family Medicine
1005 N GLEBE RD STE 160
ARLINGTON, VA 22201
Family Medicine
1005 N GLEBE RD STE 160
ARLINGTON, VA 22201
Nurse Practitioner
1005 N GLEBE RD STE 160
ARLINGTON, VA 22201
Family Medicine
1005 N GLEBE RD STE 160
ARLINGTON, VA 22201
Internal Medicine
1005 N GLEBE RD STE 160
ARLINGTON, VA 22201

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 Ambalam's NPI number?

The NPI number for Siva Ambalam is 1619234788. It was assigned to this individual provider in the NPPES registry on April 13, 2012.

Where is Siva Ambalam located?

Siva Ambalam practices at 1005 N Glebe Rd Ste 160, Arlington, VA 22201. The listed phone number is (571) 492-3045.

What is Siva Ambalam's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Siva Ambalam enrolled in Medicare?

Yes. Siva Ambalam 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.

Is Siva Ambalam affiliated with any hospitals?

According to CMS data, Siva Ambalam is affiliated with Inova Alexandria Hospital, Virginia Hospital Center, Inova Fairfax Hospital, Inova Fair Oaks Hospital and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Siva Ambalam was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.