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SHOBANA SIVAN MD
NPI 1922365485
Internal Medicine - Nephrology in Winter Park, FL

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
807 S ORLANDO AVE STE C, WINTER PARK, FL 32789(407) 894-4693 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2024, Jun 27, 2024, Apr 13, 2022 and 1 more (4 updates tracked since 2021).

About Shobana Sivan Md NPPES

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

SHOBANA SIVAN MD (NPI 1922365485) is an individual nephrology provider in Winter Park, Florida, licensed in Florida (ME151158) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1922365485
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameSHOBANA SIVANCredential: MD
Location Address807 S ORLANDO AVE STE CWinter Park, FL 32789-4870
Mailing Address807 S Orlando Ave Ste CWinter Park, FL 32789-4870 · (407) 894-4693
Phone(407) 894-4693
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 20, 2012
Last NPPES UpdateAugust 5, 20244 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1922365485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in FL · ME151158
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME151158 (FL)
807 S ORLANDO AVE STE C, Winter Park, FL 32789
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Shobana Sivan 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 ID4688076821
PECOS Enrollment IDI20210712001478
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

4

Medicare enrollment records show Shobana Sivan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology Associates Of Central Florida, P.A.
6.7 mi
Nephrology
2180 W SR 434 STE 1164
Longwood, FL 32779
  • Reassigned Medicare billing, Florida enrollment
  • 70 clinicians in this Medicare group
NPI 1346297173 (407) 894-4693
Inpatient Care Specialists LLC
10 mi
Hospitalist
525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 214 clinicians in this Medicare group
NPI 1679817134 (407) 647-2346
Central Florida Inpatient Medicine LLC
10 mi
Internal Medicine
525 TECHNOLOGY PARK STE 109
Lake Mary, FL 32746
  • Reassigned Medicare billing, Florida enrollment
  • 329 clinicians in this Medicare group
NPI 1649228859 (407) 647-2346
University Of Miami
142 mi
Ambulatory Surgical
7103 FAIRWAY DR
Palm Beach Gardens, FL 33418
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1346317039 (561) 515-1500

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 13

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 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.
428 services159 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.
255 services84 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.
50 services45 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
44 services11 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.
42 services35 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services38 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Waterman

Acute Care Hospitals · Tavares, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100057
Location1000 Waterman WayTavares, FL 32778 · Lake County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32789 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

Referred Medical Equipment & Supplies CMS DME claims 12

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers16 claims17 services$15.82 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
3 suppliers16 claims17 services$79.08 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier21 claims9,720 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
29 suppliers1,076 claims123,747 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers254 claims45,515 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims2,250 services$0.59 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

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

JOAN EVE SWAIN PA
Physician Assistant
807 S ORLANDO AVE STE C
WINTER PARK, FL 32789
Orange County (407) 894-4693

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 Shobana Sivan's NPI number?

The NPI number for Shobana Sivan is 1922365485. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Shobana Sivan located?

Shobana Sivan practices at 807 S Orlando Ave Ste C, Winter Park, FL 32789. The listed phone number is (407) 894-4693.

What is Shobana Sivan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Shobana Sivan enrolled in Medicare?

Yes. Shobana Sivan 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 Shobana Sivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shobana Sivan reassigns Medicare benefits to 4 organizations: Nephrology Associates Of Central Florida, P.A. (Longwood, FL), Inpatient Care Specialists LLC (Lake Mary, FL), Central Florida Inpatient Medicine LLC (Lake Mary, FL) and University Of Miami (Palm Beach Gardens, FL). 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 Shobana Sivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shobana Sivan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 8 other insurers list Shobana Sivan 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 Shobana Sivan affiliated with any hospitals?

According to CMS data, Shobana Sivan is affiliated with Orlando Health, Adventhealth Orlando and Adventhealth Waterman.

When was this NPI record last updated?

The NPPES record for Shobana Sivan was last updated on August 5, 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.