CAROLYN SUZANNE SIVCO (MD) – Anesthesiology Physician, NPI 1164087870

CAROLYN SUZANNE SIVCO (MD) is a healthcare provider. based in West islip, New York. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 322663-01 (NY). The NPI Number for CAROLYN SUZANNE SIVCO (MD) is 1164087870

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CAROLYN SUZANNE SIVCO (MD)
NPI
1164087870
Phone
Not provided
Address
1000 MONTAUK HWY
Enumeration Date
8 May 2019
Last Update Date
24 May 2023

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6313764444
Graduation Year
2019 (7 years ago)
PAC ID
2668707548
Group Practice PAC ID
5799677902
Professional Enrollment ID
I20230525000982
Address ID
NY117954927WE1000XHWYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,263 ANESTHESIOLOGY in NY

Provider Addresses for CAROLYN SUZANNE SIVCO (MD)

  • 1000 MONTAUK HWY

    WEST ISLIP, NY 117954927

    Phone:

    Type: Mailing

  • Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States

    NEW HAVEN, CT 065103220

    Phone: (203) 688-4242

    Type: Mailing

  • 20 York St

    New Haven, CT 065103220

    Phone: (203) 490-6292

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230525000982IAnesthesiologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 11795)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799677902View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNY
-NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

How is CAROLYN SUZANNE SIVCO (MD) identified in CMS data?
CMS-hosted NPPES data lists CAROLYN SUZANNE SIVCO (MD) with NPI 1164087870.
Can I rely on CAROLYN SUZANNE SIVCO (MD) being an active provider?
As of the registry snapshot, CAROLYN SUZANNE SIVCO (MD) is marked active.
What taxonomy line describes CAROLYN SUZANNE SIVCO (MD)?
For research purposes, treat CAROLYN SUZANNE SIVCO (MD) as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is CAROLYN SUZANNE SIVCO (MD) based?
CAROLYN SUZANNE SIVCO (MD) is tied to West Islip, New York in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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