Kala Sukerkar, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

036.063446 Issued in IN

Practice address

2406 Indian Ridge Dr
Glenview, IL 60026-1030

Phone

(847) 291-1878

NPI assigned

Aug 18, 2013

Last updated

Aug 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376784000000",
    "number": "1063845626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 INDIAN RIDGE DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 INDIAN RIDGE DR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261030",
            "telephone_number": "847-291-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKERKAR",
        "first_name": "KALA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-18",
        "last_updated": "2013-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "036.063446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Stutsman, MS, RDN, LDN
• Katherine Wailen Su, M.D.
• Emiliya Subev, RD, LDN, CNSC
• Success TMS Professional Services, PLLC
• Ryung Suh, D.D.S.
• Beth Ellen Sullivan, OTR/L
• Thomas Roger Sultan, MD
• Deanne Zoe Sundstrom, MA CCC SLP L
• Super Dental Family Center
• Superior Optical LLC

• Neonatal-Perinatal Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Neonatal-Perinatal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.