SIVARAM KOLLENGODE (M.D.) – Family Medicine Physician, NPI 1154373561

SIVARAM KOLLENGODE (M.D.) is a healthcare provider. based in Cambridge, Ohio. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 35.066988 (OH). The NPI Number for SIVARAM KOLLENGODE (M.D.) is 1154373561

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
SIVARAM KOLLENGODE (M.D.)
NPI
1154373561
Phone
(740) 439-0733
Address
1251 CLARK ST
Enumeration Date
16 May 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404397772
Graduation Year
1982 (44 years ago)
PAC ID
5496640955
Group Practice PAC ID
4880688290
Professional Enrollment ID
I20060915000212

Contacts

Secure Messaging
SRKollengode@seormc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for SIVARAM KOLLENGODE (M.D.)

  • 1251, Clark Street, Wheeling Avenue Historic District, Cambridge, Guernsey County, Ohio, 43725, United States

    CAMBRIDGE, OH 437259612

    Phone: (740) 439-0733

    Fax: (740) 439-8996

    Type: Mailing

  • 1210, Clark Street, Cambridge, Guernsey County, Ohio, 43725, United States

    CAMBRIDGE, OH 437259611

    Phone: (740) 435-2468

    Fax: (740) 439-7251

    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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 43725)

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Provider's Procedures

SIVARAM KOLLENGODE (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEOH90670Pneumococcal vaccine for injection into muscle1717

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: 4880688290View full group profile
NameSpecialtyState
-OH
O T O L A R Y N G O L O G YOH
-OH

Reviews

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Frequently asked questions

Can I use this page to confirm SIVARAM KOLLENGODE (M.D.)'s NPI?
Yes. SIVARAM KOLLENGODE (M.D.) is listed with NPI 1154373561 in the public NPI dataset.
Does the file indicate SIVARAM KOLLENGODE (M.D.) is practicing under active NPI?
Directory data currently reports SIVARAM KOLLENGODE (M.D.) as active.
What is SIVARAM KOLLENGODE (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for SIVARAM KOLLENGODE (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for SIVARAM KOLLENGODE (M.D.)?
SIVARAM KOLLENGODE (M.D.)'s geographic hint is Cambridge, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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