Individual provider Active NPI

Anupama Sundaram, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Columbus, OH
National Provider Identifier
1053843490
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
35.139731 Issued in OH
Practice address
111 S Grant Ave
Columbus, OH 43215-4701
Phone
(614) 566-9000
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 35.139731 OH Primary

Addresses

Primary practice location

111 S Grant Ave
Columbus, OH 43215-4701

Mailing address

285 E State St Ste 520
Columbus, OH 43215-4359
Phone (614) 566-9683

Other practice location 1

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-3641

Other practice location 2

6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 234-6000

Other practice location 3

5100 W Broad St
Columbus, OH 43228-1607
Phone (614) 544-1000

Other practice location 4

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 5

600 N Pickaway St
Circleville, OH 43113-1447
Phone (740) 474-2126

Other practice location 6

1000 McKinley Park Dr
Marion, OH 43302-6399
Phone (740) 383-8400

Other practice location 7

5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 663-5000

Other practice location 8

1010 Refugee Rd
Pickerington, OH 43147-9653
Phone (614) 788-4000

Other identifiers 1

IdentifierTypeStateIssuer
0225466MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230605003266 OH Practitioner - Pediatric Medicine 1557631868 Reassigns benefits to 1 organization
I20251210002490 NY Practitioner - Pediatric Medicine 1557631868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Northeastern Ohio University College of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 Main St
FL 5
Buffalo, NY 14203-1009

1001 Main St
FL 5
Buffalo, NY 14203-1013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.139731OHMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Academic Association, Inc. CurrentSince Jul 31, 2023 Accepting new patients
University at Buffalo Pediatric Associates Inc CurrentSince Jan 12, 2026 Accepting new patients
Central Ohio Newborn Medicine, Inc. Neonatal-Perinatal Medicine PastSince Mar 19, 2023 Accepting new patients
Kaleida Health Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients
Mount Carmel Health System Past Accepting new patients

Locations

1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060

1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

11100 Euclid Ave
Cleveland Heights, OH 44106

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

285 E State St
Ste 520
Columbus, OH 43215
Phone (614) 566-9683

Dept L289
Columbus, OH 43260

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

5100 W Broad St
New Rome, OH 43228
Phone (614) 544-1000

1010 Refugee Rd
Pickerington, OH 43147
Phone (614) 587-7601

Interoperability endpoints

  • Direct secure messaging: asundaram2773259@direct.trinity-health.org

Organizations & group practices 9

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1053843490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E STATE ST STE 520",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154359",
            "telephone_number": "614-566-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-3641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131502",
            "country_code": "US",
            "telephone_number": "614-234-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281607",
            "country_code": "US",
            "telephone_number": "614-544-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Pickaway St",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431131447",
            "country_code": "US",
            "telephone_number": "740-474-2126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 McKinley Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433026399",
            "country_code": "US",
            "telephone_number": "740-383-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5300 N Meadows Dr",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431232546",
            "country_code": "US",
            "telephone_number": "614-663-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Refugee Rd",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431479653",
            "country_code": "US",
            "telephone_number": "614-788-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUNDARAM",
        "first_name": "ANUPAMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "OH",
            "license": "35.139731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225466",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.