Individual provider Active NPI

Somasundaram Bharath, MD

  • Gastroenterology Physician
  • Devils Lake, ND
National Provider Identifier
1093714800
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4373 Issued in ND
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
13362MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203001172 ND Practitioner - Internal Medicine 9931396843 Reassigns benefits to 2 organizations

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
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

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

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Altru Health System CurrentSince Dec 1, 2001 Accepting new patients
Altru Health System CurrentSince Dec 1, 2001 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Dec 23, 2014 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Dec 23, 2014 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.