Active NPI
Vishalakshi Kalyana Sundaram, MD
- Family Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2023-01940
- Practice address
- 2001 Vail Ave
Ste 400
Charlotte, NC 28207-1248 - Phone
- (704) 304-7000
- NPI assigned
- Dec 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2023-01940 | NC | Primary |
Addresses
Primary practice location
2001 Vail Ave
Ste 400
Charlotte, NC 28207-1248
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1801 Rozzelles Ferry Rd
Charlotte, NC 28208-4228
Phone (704) 446-9987
Other practice location 2
1106 Reynolds St
Ste 100
Monroe, NC 28112-4375
Phone (704) 289-5443
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vsundaram1217284@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1106 Reynolds St
Suite 100
Monroe, NC 28112-4376
Phone (704) 289-5443
1801 Rozzelles Ferry Rd
Charlotte, NC 28208-4228
Phone (704) 446-9987
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023-01940 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Family Medicine | Current | Accepting new patients |
| Carolinas Pathology Group, PA | Current | Accepting new patients | |
| Carolinas Medical Center | Family Medicine | Current | Accepting new patients |
| Phelps Memorial Hospital Association | Current | Accepting new patients | |
| Phelps Memorial Hospital Association | Current | Accepting new patients | |
| Phelps Memorial Hospital Association | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Past | Accepting new patients |
Locations
100 N 6th St
Ste 900A
Minneapolis, MN 55403
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1801 Rozzelles Ferry Rd
Charlotte, NC 28208
Phone (704) 446-9987
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2001 Vail Ave
Ste 400
Charlotte, NC 28207
Phone (704) 304-7000
1106 Reynolds St
Ste 100
Monroe, NC 28112
Phone (704) 289-5443
100 S Highland Ave
Ossining, NY 10562
Phone (914) 373-4949
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Interoperability endpoints
- vsundaram1217284@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Atrium Health Levine Children's Gastroenterology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
dba Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
dba Phelps Hospital
- General Acute Care Hospital
- Sleepy Hollow, NY
- NPI 1720185267
-
dba Atrium Health Biddle Point
- Family Medicine Physician
- Charlotte, NC
- NPI 1063567428
-
dba CMC Faculty Physicians
- Family Medicine Physician
- Charlotte, NC
- NPI 1396986451
-
dba Atrium Health Pharmacy Kenilworth
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
dba Atrium Health Care Everywhere
- Family Medicine Physician
- Monroe, NC
- NPI 1376898148
-
dba Atrium Health Diabetes Prevention
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
dba Phelps Professional Services
- Internal Medicine Physician
- Sleepy Hollow, NY
- NPI 1003908658
-
dba Vivo Health Pharmacy at Phelps
- Community/Retail Pharmacy
- Sleepy Hollow, NY
- NPI 1285706077
-
dba Atrium Health Pulmonary University
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Behavioral Health
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
dba Atrium Health Mercy
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
dba Levine Children's Hospital Pediatrics
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
dba Atrium Health Laboratory
- Clinical Medical Laboratory
- Charlotte, NC
- NPI 1811005150
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1013162270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 VAIL AVE",
"address_2": "STE 400",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071248",
"telephone_number": "704-304-7000"
}
],
"practiceLocations": [
{
"address_1": "1801 Rozzelles Ferry Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282084228",
"country_code": "US",
"telephone_number": "704-446-9987",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1106 Reynolds St",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281124375",
"country_code": "US",
"telephone_number": "704-289-5443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUNDARAM",
"first_name": "VISHALAKSHI",
"middle_name": "KALYANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-01",
"last_updated": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2023-01940",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vsundaram1217284@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "2001 Vail Ave",
"address_2": "Ste 400",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282071248",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.