Individual provider Active NPI

Sumyra Kachru, M.D.

  • Gastroenterology Physician
  • Ocoee, FL
National Provider Identifier
1093003394
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME152048 Issued in FL
Practice address
10000 W Colonial Dr Ste 289
Ocoee, FL 34761-3432
Phone
(321) 841-9025
Fax
(321) 842-3651
NPI assigned
Jul 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 51540 SC
Gastroenterology Physician 207RG0100X ME152048 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr Ste 289
Ocoee, FL 34761-3432

Mailing address

10000 W Colonial Dr Ste 289
Ocoee, FL 34761-3432
Phone (321) 841-9025

Other identifiers 1

IdentifierTypeStateIssuer
515400MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skachru381339@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210928002198 FL Practitioner - Gastroenterology 2365731361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

10000 W Colonial Dr
Suite 289
Ocoee, FL 34761-3432
Phone (407) 296-1910

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy37
Upper gastrointestinal (GI) endoscopy for acid reflux57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME152048FLMDGastroenterology Physician
N/ANCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 1, 2021 Accepting new patients

Locations

10000 W Colonial Dr
Ste 289
Ocoee, FL 34761
Phone (407) 296-1911

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1414 Kuhl Ave
#38
Orlando, FL 32806
Phone (407) 481-7179

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: skachru286238@orlandohealth.medalliesdirect.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1093003394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 289",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613432",
            "telephone_number": "321-841-9025",
            "fax_number": "321-842-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR STE 289",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613432",
            "telephone_number": "321-841-9025",
            "fax_number": "321-842-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHRU",
        "first_name": "SUMYRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-20",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "51540",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME152048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "515400",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skachru381339@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "skachru381339@direct.ghs.myhfn.org",
            "address_1": "3 Richland Medical Park Dr Ste 120",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292036850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.