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

Mamatha Sirivol, MD

Individual provider Family Medicine Physician · NPI 1508091489

Mamatha Sirivol, MD is a Family Practice in Asheboro, North Carolina. Qualified in 2005, 21 years ago. Practices with Moses Cone Affiliated Physicians, Inc, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine, North Carolina and Wisconsin.

Years since qualifying
21
Licensed in
ME, NC, WI
In the registry since
2009
Specialties on file
3
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

350 N Cox St Ste 28
Asheboro, NC 27203-5514
Phone: (336) 629-6500
Fax: (336) 629-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7 Main Rd N, Hampden, ME 04444-1334 — (207) 862-9400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2024-00275 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 57322-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD21574 (ME)

Record details

NPI number1508091489
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Moses Cone Affiliated Physicians, Inc. — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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