| 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 | 40 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 |
| 000000035826 | Other | ANTHEM | |
| D74675 | Other | HUMANA | |
| 310821503030 | Other | CARE SOURCE | |
| 390005871 | Other | MEDICARE RAILROAD | |
| 2102905 | Medicaid | OH | |
| 2204490 | Other | AETNA | |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renal Physicians Inc | 5193624161 | 28 |
| 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: Not Enrolled in Medicare 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: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-395-6668 |