Dr Shravan Sivakumar, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Boston, Massachusetts. His current practice location is
330 Brookline Ave, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 667-7000.
Dr Shravan Sivakumar is licensed to practice in Massachusetts (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952939241.
Physician's Profile
Full Name | Dr Shravan Sivakumar |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 330 Brookline Ave, Boston, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952939241
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 07/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062850779
- Enrollment ID: I20240401001318
Medical Identifiers
Medical identifiers for Dr Shravan Sivakumar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952939241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 1018967 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shravan Sivakumar is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Shravan Sivakumar, MD 330 Brookline Ave, Boston, MA 02215-5491 Ph: (617) 667-7000 | Dr Shravan Sivakumar, MD 330 Brookline Ave, Boston, MA 02215-5491 Ph: (617) 667-7000 |
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