DR. SIVASHANKAR SIVARAMAN MD
NPI 1922259514
Internal Medicine - Pulmonary Disease in Galloway, NJ

Q: What is Sivashankar Sivaraman's NPI number?

The NPI number for Sivashankar Sivaraman is 1922259514. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Q: What is Sivashankar Sivaraman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since October 01, 2008PECOS EnrolledAccepts Medicare Assignment

741 S 2ND AVE, SUITE A, GALLOWAY, NJ 08205(609) 748-7300(609) 748-7300 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Sivashankar Sivaraman Md NPPES

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

DR. SIVASHANKAR SIVARAMAN MD (NPI 1922259514) is an individual pulmonary disease provider in Galloway, New Jersey, licensed in New Jersey (25MA09577100) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1922259514

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. SIVASHANKAR SIVARAMANCredential: MD

Location Address741 S 2ND AVE, SUITE AGalloway, NJ 08205-9542

Mailing Address741 S 2nd Ave, Suite AGalloway, NJ 08205-9542 · (609) 748-7300 · Fax (609) 748-7300

Phone(609) 748-7300

Fax(609) 748-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateOctober 1, 2008

Last NPPES UpdateOctober 3, 2018

✔ NPI 1922259514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NJ · 25MA09577100

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25MA09577100 (NJ)

741 S 2ND AVE, Galloway, NJ 08205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Sivashankar Sivaraman Md 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 ID5799977351

PECOS Enrollment IDI20150122000715

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 Reassignments

Medicare enrollment records show Sivashankar Sivaraman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanticare Health Services Inc.

1.7 mi

Federally Qualified Health Center (FQHC)

54 W JIMMIE LEEDS RD
Galloway, NJ 08205

Reassigned Medicare billing, New Jersey enrollment
105 clinicians in this Medicare group

NPI 1043700495 (609) 404-7300

Atlanticare Physician Group, PA

2.1 mi

Urgent Care

110 E JIMMIE LEEDS RD
Galloway, NJ 08205

Reassigned Medicare billing, New Jersey enrollment
921 clinicians in this Medicare group

NPI 1003820622 (609) 748-2100

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 15

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.

179 services137 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

158 services119 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.

150 services138 patients

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.

96 services73 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

83 services67 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

66 services31 patients

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.

63 services46 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

60 services57 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

60 services57 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

60 services57 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 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.

26 services26 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

17 services17 patients

Test to determine lung volumes using gas dilution or washout 94727

17 services17 patients

Test to examine how well the lungs exchange gases 94729

17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310064

Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County

Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310113

Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08205 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

$140.34 typical visit price

range $61.59 – $185.05

Typical copayment $35.08 (range $15.39 – $46.26)

Most-billed visit code 99204

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

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.

Referred Medical Equipment & Supplies CMS DME claims 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

11 suppliers76 claims76 services$34.88 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

11 suppliers57 claims57 services$88.59 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

11 suppliers45 claims122 services$33.10 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers27 claims144 services$16.77 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

2 suppliers11 claims65 services$15.19 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers45 claims45 services$51.90 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

14 suppliers59 claims59 services$17.30 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers20 claims20 services$13.65 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

14 suppliers90 claims500 services$2.03 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

12 suppliers37 claims37 services$11.62 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers18 claims18 services$15.26 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers39 claims43 services$88.58 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

5 suppliers15 claims15 services$139.97 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers18 claims18 services$13.09 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier40 claims40 services$4.83 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier12 claims12 services$34.61 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers68 claims68 services$37.57 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

6 suppliers127 claims128 services$81.90 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers81 claims82 services$32.97 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers35 claims1,980 services$6.19 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

11 suppliers56 claims13,608 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

6 suppliers18 claims2,070 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

4 suppliers28 claims1,650 services$0.70 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers16 claims84,000 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier20 claims20 services$32.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

12 suppliers88 claims88 services$23.98 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

ADVOCARE, LLC

Pediatrics

741 S 2ND AVE, SUITE B
GALLOWAY, NJ 08205

Atlantic County (609) 748-8500

ATLANTIC PULMONARY & CRITICAL CARE ASSOCIATES PA

Internal Medicine (Pulmonary Disease)

741 S 2ND AVE, SUITE A
GALLOWAY, NJ 08205

Atlantic County (609) 748-7300

NANCY C HIGGINS M.D.

Internal Medicine (Pulmonary Disease)

741 S 2ND AVE, SUITE A
GALLOWAY, NJ 08205

Atlantic County (609) 748-7300

MEGHAN HOUCK DO

Pediatrics

741 S 2ND AVE
GALLOWAY, NJ 08205

Atlantic County (609) 748-8500

NADIA SADIK M.D.

Internal Medicine (Pulmonary Disease)

741 S 2ND AVE, SUITE A
GALLOWAY, NJ 08205

Atlantic County (609) 748-7300

MONA ELGENAIDI M.D.

Pediatrics

741 S 2ND AVE, SUITE B
GALLOWAY, NJ 08205

Atlantic County (609) 748-8500

MAINLAND PEDIATRIC ASSOC.

Pediatrics

741 S 2ND AVE
GALLOWAY, NJ 08205

Atlantic County (609) 748-8500

SABAH AMIR M.D.

Pediatrics

741 S 2ND AVE, SUITE B
GALLOWAY, NJ 08205

Atlantic County (609) 745-8500

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 Sivashankar Sivaraman's NPI number?

The NPI number for Sivashankar Sivaraman is 1922259514. It was assigned to this individual provider in the NPPES registry on October 1, 2008.

Where is Sivashankar Sivaraman located?

Sivashankar Sivaraman practices at 741 S 2nd Ave Suite A, Galloway, NJ 08205. The listed phone number is (609) 748-7300.

What is Sivashankar Sivaraman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Sivashankar Sivaraman enrolled in Medicare?

Yes. Sivashankar Sivaraman 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 organizations bill Medicare for Sivashankar Sivaraman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sivashankar Sivaraman reassigns Medicare benefits to 2 organizations: Atlanticare Health Services Inc. (Galloway, NJ) and Atlanticare Physician Group, PA (Galloway, NJ). Each 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 Sivashankar Sivaraman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sivashankar Sivaraman accept?

Health plans from Oscar Health list Sivashankar Sivaraman 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 Sivashankar Sivaraman affiliated with any hospitals?

According to CMS data, Sivashankar Sivaraman is affiliated with Atlanticare Regional Medical Center - City Campus and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Sivashankar Sivaraman was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.