Doctor profile · Federal record

Dr. Siva Ambalam, M.P.H., D.O.

Family Medicine Physician (CMS: Family Practice) · Arlington, VA

  • NPI 1619234788
  • Accepts Medicare
  • 14 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1005 N Glebe RD Ste 160
Arlington, VA 22201
(571) 492-3045
Mailing address
Po Box 37174
Baltimore, MD 212973174

Credentials & registration

NPPES · NUCC
NPI registered
April 2012 — 14 yrs on file
Profile last updated
September 29, 2022
Year of graduation
2012 — 14 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Virginia #0102205174

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1619234788. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
172
Distinct HCPCS
8
Medicare allowed
$22,353
HCPCS Description Services Patients Avg allowed
99215 Established patient office or other outpatient visit, 40-54 minutes 42 19 $204
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 37 37 $148
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 19 17 $17
99205 New patient office or other outpatient visit, 60-74 minutes 17 17 $250
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 17 14 $1
96372 Injection of drug or substance under skin or into muscle 16 13 $16
99443 Telephone medical discussion with physician, 21-30 minutes 13 12 $145
99214 Established patient office or other outpatient visit, 30-39 minutes 11 11 $146

In context: peer comparison

Among 16 peers in Arlington Family Medicine Physician, average services per provider: 74. This provider delivers 2.3× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
100
Patients
14
Total drug cost
$1,560
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 31 14 $441
Amlodipine Besylate Generic 19 0 $195
Tamsulosin Hcl Generic 14 0 $386
Levothyroxine Sodium Generic 13 0 $301
Trazodone Hcl Generic 12 0 $55
Gabapentin Generic 11 0 $182

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Siva Ambalam's medical specialty?
Dr. Siva Ambalam practices Family Medicine Physician in Arlington, VA.
Where does Dr. Siva Ambalam practice?
Dr. Siva Ambalam practices at 1005 N Glebe RD Ste 160, Arlington, VA 22201. Office phone: 5714923045.
What is Dr. Siva Ambalam's NPI?
Dr. Siva Ambalam's National Provider Identifier (NPI) is 1619234788, issued by NPPES.
Does Dr. Siva Ambalam accept Medicare assignment?
Yes. Dr. Siva Ambalam accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Siva Ambalam commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99215); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS 93000). Source: CMS Medicare Physician & Other Practitioners file.