Sunitha Bhogavilli, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0054566 Issued in MD

Legal business name

SUNITHA BHOGAVILLI, MD PC

Practice address

9801 Georgia Ave
Suite 117
Silver Spring, MD 20902-5276

Phone

(301) 570-9700

Fax

(301) 260-2838

NPI assigned

Oct 5, 2007

Last updated

Jun 25, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sunitha Bhogavilli, M.D.NPI 1114953452

Title

MD

Phone

(301) 570-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JAAHBA

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sunitha Bhogavilli, M.D.

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1114953452

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1023206877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610157",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE",
            "address_2": "SUITE 117",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNITHA BHOGAVILLI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BHOGAVILLI",
        "authorized_official_first_name": "SUNITHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-570-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "634000800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summit Hills MD Opco (Fox Chase Healthcare)
• Summit Speech & Language Therapy
• Su-Lin Sun, PHARM.D.
• Sunbeam Care Rehab Services LLC
• Jungeun Sung, RN
• Sunshine Assisted Living Facility
• Sunshine Consulting & Counseling, Inc.
• Sunshine Pediatrics
• Superior Caring Hands, LLC
• Suresh K Gupta M.D. P.a.

• Internal Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.