SIVA AMBALAVANAN (MD) – Nephrology Physician, NPI 1346222643
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
547 NEPHROLOGY in OH
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Provider Addresses for SIVA AMBALAVANAN (MD)
500, Lincoln Park Boulevard, Pasadena, Kettering, Montgomery County, Ohio, 45429, United States
SUITE 100
KETTERING, OH 454296410
Phone: (937) 222-3118
Fax: (937) 222-1436
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $397.
Total Amount is formed as General ($397) + Research ($0) + Ownership ($0) = $397.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($160).
Total Amount
$397
General + Research + Ownership
Payments
13
Total payment records
General Amount
$397
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-08-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080811000501 | I | Nephrology | OH | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 364 | 205 | $0 |
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 182 | 35 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 38 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 20 | 14 | $0 |
Insurance plans in this area (ZIP 45429)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEPHROLOGY | OH | 90966 | Home dialysis services per month, patient 20 years of age or older | 91 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Nephrology | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nephrology, Internal Medicine | OH | |
| N E P H R O L O G Y | OH | |
| Nephrology, Internal Medicine | OH | |
| N E P H R O L O G Y | OH | |
| - | OH |
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