Individual provider Active NPI

Sumanya Narra

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1023553393
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059767 Issued in PA
Practice address
5675 N Front St
Philadelphia, PA 19120-2719
Phone
(215) 279-9666
NPI assigned
Dec 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059767 PA Primary

Addresses

Primary practice location

5675 N Front St
Philadelphia, PA 19120-2719

Mailing address

609 Hermitage St
Philadelphia, PA 19128-2605
Phone (732) 687-6473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204002895 PA Practitioner - Physician Assistant 0345588034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059767PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Management Corporation CurrentSince Dec 23, 2018 Accepting new patients
Public Health Mangement Corporation CurrentSince Dec 23, 2018 Accepting new patients

Locations

216 W Somerset St
Philadelphia, PA 19133
Phone (215) 763-8870

1900 N 9th St
Ste 104
Philadelphia, PA 19122
Phone (215) 735-6690

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

501 S 54th St
Fl 2
Philadelphia, PA 19143
Phone (215) 240-4820

1200 Callowhill St
Ste 101
Philadelphia, PA 19123
Phone (215) 825-8212

Interoperability endpoints

  • Direct secure messaging: snarra579463@direct.ochin.org
  • Direct secure messaging: sumanyanarra@nncc.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1023553393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 HERMITAGE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282605",
            "telephone_number": "732-687-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 N FRONT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191202719",
            "telephone_number": "215-279-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARRA",
        "first_name": "SUMANYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.