Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Siva Prasad Maruboyina, MD

Individual provider Gastroenterology Physician · NPI 1265816409

Dr. Siva Prasad Maruboyina, MD is a Gastroenterology in Bridgeport, West Virginia. Qualified in 2008, 18 years ago. Practices with United Hospital Center Inc, a 291-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New Jersey and West Virginia.

Years since qualifying
18
Licensed in
NJ, WV
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

527 Medical Park Dr Ste 402W
Bridgeport, WV 26330-9010
Phone: (681) 342-3690
Fax: (681) 342-3695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 111 Central Ave, Newark, NJ 07102-1909 — (862) 763-1418
  • 703 Main St, Paterson, NJ 07503-2621 — (862) 763-1418

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 31030 (WV)
Gastroenterology Physician Taxonomy 207RG0100X · Licence 25MA10445200 (NJ)

Record details

NPI number1265816409
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 17, 2015
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice United Hospital Center Inc — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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