DR. SIVA PAVANI NALLAM MD
NPI 1659702819
Pediatrics in Stockton, CA

Q: What is Siva Pavani Nallam's NPI number?

The NPI number for Siva Pavani Nallam is 1659702819. It was assigned to this individual provider in the NPPES registry on December 12, 2013. The provider is also known as Siva Pavani Puppala MD.

Q: What is Siva Pavani Nallam's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since December 12, 2013PECOS Enrolled

2349 N CALIFORNIA ST, STOCKTON, CA 95204(209) 469-2229(209) 466-2436 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Aug 17, 2017 (2 updates tracked since 2017).

On this page

About Dr. Siva Pavani Nallam Md NPPES

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

DR. SIVA PAVANI NALLAM MD (NPI 1659702819) is an individual pediatrics provider in Stockton, California, licensed in Pennsylvania (MD462023) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659702819

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SIVA PAVANI NALLAMCredential: MD

Location Address2349 N CALIFORNIA STStockton, CA 95204-5505

Mailing Address2349 N California StStockton, CA 95204-5505 · (630) 877-7629

Phone(209) 469-2229

Fax(209) 466-2436

Sole ProprietorNo

Enumeration DateDecember 12, 2013

Last NPPES UpdateMarch 29, 20222 updates tracked since enumeration

NPPES CertifiedMarch 29, 2022

✔ NPI 1659702819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in PA · MD462023✔ Licensed in CA · A161250

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2349 N CALIFORNIA ST, Stockton, CA 95204

Open in Google Maps ↗

Other Names 1

Former Name (1)Siva Pavani Puppala Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Siva Pavani Nallam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Siva Pavani Nallam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Centers, Inc

1.1 mi

Federally Qualified Health Center (FQHC)

1031 WATERLOO RD
Stockton, CA 95205

Reassigned Medicare billing, California enrollment
154 clinicians in this Medicare group

NPI 1285059923 (209) 940-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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 11

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

MISS PINKI L GOSWAMI PNP

Nurse Practitioner