Siva Ambalavanan, MD | |
500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429-6410 | |
(937) 222-3118 | |
(937) 222-1436 |
Full Name | Siva Ambalavanan |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 39 Years |
Location | 500 Lincoln Park Blvd, Kettering, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346222643 | NPI | - | NPPES |
390005871 | Other | MEDICARE RAILROAD | |
D74675 | Other | HUMANA | |
2204490 | Other | AETNA | |
2102905 | Medicaid | OH | |
000000035826 | Other | ANTHEM | |
310821503030 | Other | CARE SOURCE | |
3108215037C16 | Other | UNITED MINE WORKERS | |
390005871 | Other | UHC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 74675 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Davita - Buckeye Dialysis | Dayton, OH | Dialysis facility |
Davita Dialysis Centers Of Dayton East | Dayton, OH | Dialysis facility |
Davita - Home Dialysis Of Dayton South | Kettering, OH | Dialysis facility |
Grandview And Southview Hospitals | Dayton, OH | Hospital |
Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
Miami Valley Hospital | Dayton, OH | Hospital |
Kettering Medical Center | Kettering, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Renal Physicians Inc | 5193624161 | 14 |
Entity Name | Renal Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962486316 PECOS PAC ID: 5193624161 Enrollment ID: O20040108000297 |
Mailing Address | Practice Location Address |
---|---|
Siva Ambalavanan, MD 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429-6410 Ph: (937) 222-3118 | Siva Ambalavanan, MD 500 Lincoln Park Blvd, Suite 100, Kettering, OH 45429-6410 Ph: (937) 222-3118 |
Dr. Heather D Riggs Carter, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Bvld., Ste. 401, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3913 | |
Dr. Jeremy Lawton Chapman, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 | |
Saleem Ahmad, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 540 Lincoln Park Blvd, Suite 200, Kettering, OH 45429 Phone: 937-298-8058 Fax: 937-298-5638 | |
Calvert Raymond Busch, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1380 E Stroop Rd, Kettering, OH 45429 Phone: 937-293-3486 Fax: 937-293-3605 | |
Dr. Hemant M Shah, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd Ste 5800, Kettering, OH 45429 Phone: 937-439-3600 Fax: 937-741-8366 | |
Martin Burbank, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-384-6800 Fax: 937-384-6938 | |
Naveen K Vijayam, Nephrology Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 |