Active NPI
Somasundaram Bharath, MD
- Gastroenterology Physician
- Devils Lake, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4373
- Practice address
- 1001 7TH St NE
Devils Lake, ND 58301-2719 - Phone
- (701) 662-2157
- Fax
- (701) 662-4116
- NPI assigned
- Jul 14, 2005
- Last updated
- Sep 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4373 | ND | Primary |
Addresses
Primary practice location
1001 7TH St NE
Devils Lake, ND 58301-2719
Mailing address
PO Box 1100
Devils Lake, ND 58301-1100
Phone (701) 662-2157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13362 | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbharath8042@direct.directaltru.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 7TH St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2157
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Phone (701) 795-2000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 68 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 53 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altru Health System | Current | Accepting new patients | |
| Altru Health System | Current | Accepting new patients | |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Clinic Pharmacy Inc | Past | Accepting new patients |
Locations
3290 Solutions Ctr
Chicago, IL 60677
1001 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2157
1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131
1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000
Interoperability endpoints
- sbharath8042@direct.directaltru.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHI St Alexius Health Devils Lake
- Emergency Medicine Physician
- Devils Lake, ND
- NPI 1790751170
-
dba CHI St Alexius Health Devils Lake Clinic
- Clinic/Center
- Devils Lake, ND
- NPI 1184117293
-
- Community/Retail Pharmacy
- Devils Lake, ND
- NPI 1184718876
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
dba CHI St Alexius Health Devils Lake
- Critical Access Hospital
- Devils Lake, ND
- NPI 1659343093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1093714800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1100",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583011100",
"telephone_number": "701-662-2157",
"fax_number": "701-662-4116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 7TH ST NE",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583012719",
"telephone_number": "701-662-2157",
"fax_number": "701-662-4116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHARATH",
"first_name": "SOMASUNDARAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ND",
"license": "4373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13362",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbharath8042@direct.directaltru.org",
"affiliation": "N",
"endpointDescription": "Direct mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1001 7th St NE",
"city": "Devils Lake",
"state": "ND",
"country_code": "US",
"postal_code": "583012719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.